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									    FACILITATING PROJECT DOCUMENT

       For 2009 – 2012 Work Plan

          December 31, 2010




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                   FACILITATING PROJECTS FOR GPA OBJECTIVE 1

FACILITING
PROJECT            GPA1.1: National Action Plans and Profiles Global Facilitating
(administrative)   Project
Work plan
project number

Facilitating       National action plans and profiles on workers’ health: international evidence and policy
Project Title      options



GPA Objective      GPA Objective 1: To devise and implement policy instruments on workers’ health



GPA Action         Resolution WHA 60.26 urged Member States of WHO "(1) to devise, in collaboration with
1.6,1.7,1.10       workers, employers and their organizations, national policies and plans for implementation of
                   the global plan of action on workers‟ health as appropriate, and to establish appropriate
                   mechanisms and legal frameworks for their implementation, monitoring and evaluation;"

                   GPA "(6) National policy frameworks for workers‟ health should be formulated taking account of
                   the relevant international labour conventions and should include: enactment of legislation;
                   establishment of mechanisms for intersectoral coordination of activities; funding and resource
                   mobilization for protection and promotion of workers‟ health; strengthening of the role and
                   capacities of ministries of health; and integration of objectives and actions for workers‟ health
                   into national health strategies.

                   (7) National action plans on workers‟ health should be elaborated between relevant ministries,
                   such as health and labour, and other major national stakeholders taking also into consideration
                   the Promotional Framework for Occupational Safety and Health Convention, 2006. Such plans
                   should include: national profiles; priorities for action; objectives and targets; actions;
                   mechanisms for implementation; human and financial resources; monitoring, evaluation and
                   updating; reporting and accountability…

                   10. WHO will work with Member States to strengthen the capacities of the ministries of health
                   to provide leadership for activities related to workers‟ health, to formulate and implement
                   policies and action plans, and to stimulate intersectoral collaboration.

                   The development of national action plans on workers' health is a priority indicator for measuring
                   the success of WHO' work on workers' health under the WHO Mid-Term Strategic Plan 2008-
                   2013. By 2013 national plans of action and policies in relation to GAP should be implemented
                   in 15 countries with support from WHO.



Priority Area      Priority 1.1: Develop / update national profiles on workers’ health and provide evidence
                   base for development, implementation and evaluation of national action plans on
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                workers’ health



Purpose of      The overall purpose of this project is to stimulate global and national action on workers' health
Facilitating    based on solid evidence and good practices. The specific objectives of the project are to:
Project
                       establish a baseline and set of international and national indicators of achievement
                        from implementing GPA
                       build evidence base for global action on workers' health
                       develop, implement and evaluate national policy instruments for workers' health
                        (national policies and strategies, national plans of action, and national profiles, national
                        OHS legislation)


GPA Manager     Claudina Nogueira – NIOH, South Africa



CC Initiative   Jovanka Bislimovska-Karadzinska
Leader and
contact         bislimovska_j@yahoo.com
information
                Institute of Occupational Health of RM, WHO CC

                The Former Yugoslav Republic of Macedonia



WHO             Ivan Ivanov, WHO-HQ
responsible
person          ivanovi@who.int




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Collaborating    Projects currently collaborating in this area:
Centre
partners with
separate
                 GPA1.6d Strengthening of health system to address occupational health risks: development of a
contributing
                 national strategy on occupational health and safety - Serbian Institute of Occupational Health Dr
PROJECTS
                 Dragomir Karajović, Belgrade, Serbia (project leader Prof Dr Petar Bulat, bulatp@eunet.rs)
(List CC,
project title,
project
number,          GPA1.6f Epidemiological surveillance for occupational diseases (Provimep) - Asociación Chilena
project          de Seguridad, Chile (project leader Dr Verónica Herrera, vherrera@achs.cl)
leader, and
email)

                 GPA1.6g The Australian National OHS Strategy 2002-2012, Safe Work Australia, (project leader
                 Dr Peta Miller peta.miller@safeworkaustralia.gov.au)



                 GPA1.6h National Harmonisation of OHS legislation across Australia, Safe Work Australia,
                 (project leader Wayne Creaser wayne.creaser@safeworkaustralia.gov.au)



                 GPA1.7d National action plan on prevention of occupational diseases and intervention measures
                 - National Institute of Occupational & Environmental Health (NIOEH), Vietnam; (project leader Dr
                 Tran Thi Ngoc Lan, Ministry of Health, ttnlan@gmail.com)



                 GPA1.7e Evaluation of the effectiveness of national action plans on prevention of occupational
                 diseases in Vietnam - National Institute of Occupational & Environmental Health (NIOEH),
                 Vietnam (project leader Dr Tran Thi Ngoc Lan, Ministry of Health, ttnlan@gmail.com)



                 GPA1.9a The draft of the National Occupational Disease Prevention and Control Programme in
                 China 2005-2010 - National Institute of Occupational Health and Poison Control, Chinese Centre
                 for Disease Control and Prevention, Beijing, China (project leader Tao Li, niohplt@sina.com)



                 GPA1.10tt Development of international and national indicators of achievement for GPA -
                 WHO/HQ (project leader Ivan Ivanov, ivanovi@who.int)

                 New GPA1.7a Brazilian profile and national surveillance indicators in occupational health and
                 safety – FUNDACENTRO, São Paulo Brazil (project leader Dr Rogério Galvão da Silva,
                 rogerio@fundacentro.gov.br)

                 New GPA1.7b Impact of non-health policies on occupational safety and health and public health:
                 a systems dynamics analysis – Curtin University, Australia, in collaboration with IEA (project
                 leader: Dr Yang Miang Goh, y.goh@curtin.edu.au



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WHO            AFRO: Thebe Pule
Regional
offices        AMRO: Maritza Tennassee
actively
               EMRO Said Arnaout
involved in
this project   EURO: Rokho Kim
(name and
email)         SEARO: Salma Burton

               WPRO: Hisashi Ogawa

               ILO: Seiji Machida



Summary of     The project will include the following activities:
the
Facilitating               review existing data on the current status and trends in workers' health worldwide,
Project (max                taking into account globalization, equity, employment and economic considerations;
                           analysis of country data on workers' health, including surveys and national profiles;
100 words)
                           collection and review of experience and lessons learned from elaboration of national
                            policy instruments;
                           developing good practices and benchmarking tools for national policy setting;
                           creating a repository of existing policy instruments and related information materials;
                           providing direct technical assistance to Member States in developing national action
                            plans on workers' health.


               A global Task Force will be established to facilitate work on developing national policy
               instruments for workers' health and to provide technical assistance to individual countries.




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Anticipated       Project GPA1.6d Strengthening of health system to address occupational health
deliverables by   risks: development of a national strategy on occupational health and safety -
2012 from         Serbian Institute of Occupational Health Dr Dragomir Karajović, Belgrade, Serbia
Contributing
Projects             The preparation of the National strategy on occupational health and safety which will
                      be adopted by Ministry of Health, Ministry of Labour, Occupational safety and Health
                      Directorate and National government
                     Developing/updating national legislation on occupational health and safety according
                      to provisions set in national strategy on occupational health and safety
                     International workshop with participation of SEE countries aimed at exchange of
                      experience and discussing common problems and challenges regarding
                      implementation of national strategies and the status of occupational health in the SEE
                      region
                      Making reports to WHO Regional Office for Europe on the current situation of
                      occupational health and safety
                     Technical assistance to national government in developing occupational health
                      policies, systems and services
                     Provision of information materials to national government and all other relevant levels
                      of government
                     Establishment of national mechanisms for social dialogue with regards to occupational
                      health and safety
                     Establishment of national programmes for training employers, workers representatives
                      in enterprises and labour inspectors


                  Project GPA1.6f Epidemiological surveillance for occupational diseases (Provimep)
                  - Asociación Chilena de Seguridad, Chile.

                         To update the Provimep for workers exposed to Silica
                         To update the Provimep for workers exposed to Pesticides
                         To formulate the Provimep for workers exposed to High Altitude
                         To formulate the Provimep for workers exposed to Diving conditions
                         To assess the economics involved in the Achs Provimep
                         To implement preventive actions in specific high-risk and disabled populations
                         To implementation preventive actions in noise exposed populations according to
                          their willing to change attitude
                         To improve monitoring and measurement of specific Provimep processes.
                         To improve the integration of the Achs' information systems of prevention and
                          curative areas.
                         To develop information systems to offer Provimep information to companies
                          through the web site www.achs.cl
                         To implement health promotion strategies in the working population


                  Project GPA1.6g The Australian National OHS Strategy 2002-2012 - Safe Work
                  Australia.

                         Safe Work Australia has completed the second triennial review of the Australian
                          National OHS Strategy 2002-2012.
                         The Strategy remains an effective coordinating framework to improve OHS in
                          Australia and will continue to be implemented until 2012.
                         Ongoing commitment is reflected in the substantial suite of coordinated Australia-
                          wide and cross jurisdictional OHS programs and campaigns that have occurred
                          since the establishment of the National Strategy targets and priority areas.
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           The National OHS Strategy Progress against targets is published on the Safe
            Work Australia website
           During 2011 the priorities and targets will be reviewed and a new National OHS
            Strategy will be developed by January 2012.
           The new strategy will be informed by evidence of the magnitude and severity of
            workplace death, injury and disease, emerging issues and the implementation of
            the harmonised model OHS legislation.


    Project GPA1.6h National Harmonisation of OHS legislation across Australia – Safe
    Work Australia.

           The Council of Australian Governments (COAG) signed an Intergovernmental
            Agreement (IGA) for OHS Reform in July 2008.
           The IGA expresses the commitment of all governments to uniform OHS laws,
            complemented by nationally consistent approaches to compliance and
            enforcement. It also provided for the establishment of Safe Work Australia to
            drive the harmonisation process.
           The Workplace Relations Ministers responded to the recommendations from the
            Panel conducting the National Review into Model OHS Laws on 18 May and
            tasked Safe Work Australia to commence developing the legislation.
           The Parliamentary Counsel‟s Committee (PCC) has commenced developing the
            model OHS legislation based on Drafting Instructions prepared by Safe Work
            Australia.
           Safe Work Australia Council members are progressively considering drafts of the
            model OHS legislation.
           The Workplace Relations Ministers Council ( WRMC) will consider an exposure
            draft of the model OHS legislation in September, 2009, before it is released for
            public comment
           The Workplace Relations Ministers Council hopes to formulate model OHS
            legislation to replace existing state and territory OHS laws by September 2009.
           The full suite of Regulations to support the Act are expected to be released by
            December 2011
           Safe Work Australia‟s 2 top initiatives are to develop and implement National
            Model OHS Legislation and to continue to implement the National OHS Strategy
            2002-2012.


    Project GPA1.7d National action plan on prevention of occupational diseases and
    intervention measures - National Institute of Occupational & Environmental Health
    (NIOEH), Vietnam.

           4 intervention models of prevention of specific occupational diseases have been
            already developed and applied in different provinces and industries (for
            occupational pneumoconiosis, skin diseases, noise induced deafness and
            hepatitis B)
           3 occupational diseases have been on process added into the list of compensated
            occupational diseases in Vietnam
           Training curriculum on OSH and occupational disease prevention have been
            developed for OH staffs at District levels
           Some legislative documents have been developed and promulgated in order to
            strengthen OSH activities and occupational disease prevention in health care
            facilities
           National technical regulations on occupational health have been developed


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          National action plan on prevention of occupational diseases and intervention
           measures will be accomplished
          By 2012 to reduce by 10% the number of newly cases of occupational disease
          By 2012 to ensure that more than 80% of workers in production units with a high
           risk of occupational diseases have their health checked for occupational diseases
          100% of workers diagnosed with occupational accidents and occupational
           diseases are treated, provided with health care and rehabilitation services by
           2012.
          By 2012 to more than 80% of workers in sectors and jobs with strict occupational
           safety and health requirements and OSH officers are trained in OSH
          By 2012 to some additional occupational diseases will be added into the list of
           compensated occupational diseases in Vietnam


    Project GPA1.7e Evaluation of the effectiveness of national action plans on
    prevention of occupational diseases in Vietnam - National Institute of Occupational &
    Environmental Health (NIOEH), Vietnam.

               Prevention model for some common occupational diseases will be developed
                and applied such as pneumoconiosis, noise-induced deafness, skin disease
                and infectious disease (hepatitis B)
               The rate of some common occupational diseases will be reduced by 10%
               Capacities of environment monitoring and occupational disease diagnosis
                and detection will be improved for OH practitioners
               Training materials will be developed and disseminated
               Legislative documents on occupational disease prevention will be reviewed,
                supplemented, and promulgated


    Project GPA1.9a The draft of the National Occupational Disease Prevention and
    Control Programme in China 2005-2010 - National Institute of Occupational Health and
    Poison Control, Chinese Centre for Disease Control and Prevention, Beijing, China.

          To investigate the status of occupational disease prevention and control-
           completed
          To analyze the obtained information and draw up the draft of National
           Occupational Disease Prevention and Control Program in China 2007-2015-
           completed
          To promulgate the National Occupational Disease Prevention and Control
           Program in China 2007- 2015


    Project GPA1.10tt Development of international and national indicators of
    achievement for GPA - WHO/HQ.
         2009 WHO country survey completed
         List of indicators of achievement
         GPA mid-term progress report


    NEW - Project GPA1.7a Brazilian profile and national surveillance indicators in
    occupational health and safety – FUNDACENTRO, São Paulo, Brazil.
        Completion of concise national occupational safety and health profile by 2012




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                       NEW – Project GPA1.7b Impact of non-health policies on occupational safety and health
                       and public health: a systems dynamics analysis – Curtin University, Australia, in
                       collaboration with IEA
                             Research report on feasibility of using system dynamics analysis in occupational
                               safety and health (OSH) and health impact assessment (HIA); computer
                               simulation model to be made available to the public
                             Longer term outcome will be a simulation game to educate regulators and
                               managers on the potential impact on non-health policies on OSH and public
                               health




Critical Gaps to be          Global evidence for action on workers' health
filled by 2012 in            Systematic collection and analysis of national policies, action plans and profiles in
order to fulfil GPA           workers' health
priorities (these            Capacity for providing technical assistance to Member States in elaborating
                              national policy instruments
lead to deliverables
                             Capacities of the ministries of health to provide leadership for activities related to
desired by 2012)
                              workers‟ health




Examples of                  Global workers' health outlook
deliverables desired         Global repository of national policy instruments on workers' health
by 2012 to                   Guidance on the development, updating and use of national profiles on workers'
adequately assist             health
countries to protect         Policy options for elaboration, implementation and evaluation of national polices,
                              strategies and action plans on workers' health
and promote health
                             New models and mechanisms for international and national policy action on
of health care                workers' health
workers                      Advance on implementing regional frameworks for workers' health
internationally              Global Task Force on policy instruments for workers' health

Barriers to success          Lack of methodologies for international comparative analysis of policy instruments
that must                     in workers' health
addressed                    Insufficient expertise in political science among CCs
                             Changes in national political contexts
                             Lack of intersectoral collaboration and governmental stewardship




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Possible projects       European workplan for implementing GPA - WHO-EURO (project leader Rokho
for discussion in        Kim, rki@ecehbonn.euro.who.int )
October 2009             WHO/ILO African Joint Effort on Occupational Health - WHO-AFRO (project
                         leader Thebe Pule, pulet@afro.who.int)
(but none received       Eastern Mediterranean plan of action on workers' health - WHO-EMRO (project
by June 2010)            leader Said Arnaout, arnaouts@emro.who.int)
                        Development of national profiles on occupational health and safety in South East
                         Europe - WHO-EURO (project leader Rokho kim, rki@ecehbonn.euro.who.int)
                        Asian Framework for action on occupational health and safety - WHO-
                         WPRO/SEARO(project leader Hisashi Ogawa, ogawahi@wpro.who.int)
                        Plan of action on workers' health in the Americas - AMRO-PAHO (project leader
                         Maritza Tennassee, tennassm@paho.org)




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FACILITING         GPA1.2: Silica / Dust Global Facilitating Project
PROJECT            (with projects organized by area of work)
(administrative)

Work plan
project number

Facilitating       Tools and best practices for prevention of silicosis and other pneumoconioses
Project Title      globally




GPA Objective      GPA Objective 1: To devise and implement policy instruments on workers’ health



GPA Action 1.10    ”WHO will work with Member States.... Its activities will include global campaigns… and
                   other actions addressing priority work-related health outcomes” (ILO / WHO Global
                   Programme to Eliminate Silicosis)



Priority Area      Priority 1.2: Develop and disseminate evidence-based prevention tools and raise
                   awareness for the elimination of silica and other dust-related diseases



Purpose of         This Facilitating Project aims to coordinate the efforts in the Americas with those in other
Facilitating       regions globally to substantially advance the ILO/WHO Global Campaign to Eliminate
Project            Silicosis (and other pneumoconioses) by 2012. All tools and materials will be organized in
                   an electronic library for easy availability.



                   The Americas Initiative is the first regional approach to advance the ILO/WHO Campaign.
                   It aims at developing national and regional capacity in five areas needed to eliminate
                   silicosis. Current projects with this aim have been grouped into these five areas:



                   Area 1: Develop and augment partnerships with stakeholders including employers,
                   employees, universities, insurance companies, ministries, and international organizations.
                   Their goal is to increase awareness and to advance national and regional plans of action
                   to eliminate pneumoconioses including silicosis.

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                   Area 2: Increase capacity of physicians and other medical personnel in the diagnosis,
                   surveillance, and treatment of pneumoconioses including silicosis.
                    Area 3: Enhance capability in laboratory analysis of crystalline silica and other mineral
                    dusts.



                    Area 4: Develop, implement, and evaluate control-focused strategies and user-friendly
                    tools to prevent exposures to silica and other mineral dusts.



                    Area 5: Increase technical knowledge and professional capacity in industrial hygiene and
                    engineering to assess and manage exposures to silica and other mineral dusts.




GPA Manager         Claudina Nogueira – NIOH, South Africa



CC Initiative       Catherine Beaucham (NIOSH) htn9@cdc.gov
Leader and
contact             Maria Lioce-Mata (NIOSH) cru6@cdc.gov
information
                    Faye Rice (NIOSH) flr2@cdc.gov



WHO                 Ivan Ivanov ivanovi@who.int
responsible
person              Maritza Tennasee tennassm@paho.org



Collaborating       Projects are organized by area:
centre partners
with separate
contributing
                    Area 1: Develop and augment partnerships with stakeholders including employers,
PROJECTS
                    employees, universities, insurance companies, ministries, and international organizations.
(List CC, project
                    Their goal is to increase awareness and to advance national plans of action to eliminate
title, project
                    pneumoconioses including silicosis.
number, project
leader, and            GPA1.10u Global Silica Information Dissemination. Project Leader: Faye Rice
email)                  frice@cdc.gov NIOSH, USA.
                       GPA1.10j National programme on elimination of silicosis – Brazil (NPES-B) Project
                        Leader: Eduardo Algranti eduardo@fundacentro.gov.br FUNDACENTRO, Brazil.
                       GPA1.10z Identification of Global Pneumoconiosis Information Resources – Project

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                       Leader: Faye Rice frice@cdc.gov NIOSH, USA


                   Area 2: Increase capacity of physicians and other medical personnel in the diagnosis,
                   surveillance, and treatment of pneumoconioses including silicosis.

                      GPA1.10r Training programs and guidance materials for surveillance, diagnosis, and
                       treatment of silica exposed workers globally. Project leader: Joe Burkhart, DRDS ;
                       jeb7@CDC.GOV; Kristin Cummings Kcummings@cdc.gov; Maria Lioce-Mata
                       mliocemata@cdc.gov NIOSH, USA
                      GPA1.10x Revision of 1996 WHO monograph: Screening and surveillance of
                       workers exposed to mineral dusts. Project Leader: Gregory R. Wagner
                       gwagner@cdc.gov NIOSH, USA
                      GPA1.7i Eradication of Silicosis. Project Leader: Gustavo Contreras
                       gcontreras@achs.cl ACHS, Chile
                      GPA1.10t Silica, Silicosis, and tuberculosis. Project Leader: David Rees
                       david.rees@nioh.nhls.ac.za NIOH South Africa
                      GPA1.10v Establishment and evaluation of surveillance programs for silicosis.
                       Project Leader: Nguyen Duy Bao, baovsld@yahoo.com NIOEH Vietnam


                   Area 3: Enhance capability in laboratory analysis of crystalline silica and other mineral
                   dusts.

                      GPA1.10e Best Laboratory practices globally for analysis of crystalline silica. Project
                       Leader: Rosa Key-Schwartz. Rjk9@cdc.gov NIOSH, USA
                      GPA1.10p Promoting a Regional Diagnosis of exposure to silica. Project Leader:
                       Juan Alcaino jalcaino@ispch.cl; Juan Ferruz jlferruz@ispch.cl ISP Chile


                   Area 4: Develop, implement, and evaluate control-focused strategies and user-friendly
                   tools to prevent exposures to silica and other mineral dusts.

                      GPA1.10k Development and implementation of Silica Control Tool Kits for priority
                       exposure situations in the Americas. Project Leader: Catherine Beaucham
                       htn9@cdc.gov, T.J. Lentz tlentz@cdc.gov and Aaron Sussell asussell@cdc.gov
                       NIOSH USA
                      GPA1.10l Implementation of Control Banding Methodology for Silica Control. Project
                       Leader: Juan Alcaino jalcaino@ispch.cl ISP Chile
                      GPA1.10i Development of Risk Management Toolkit for Silicosis in Small Silica Flour
                       Milling Units. Project Leader: LJ Bhagia ljbhagia@rediffmail.com SK Dave
                       dr_skd@rediffmail.com, Habibullah N Saiyed, saiyedhn@yahoo.com NIOH India


                   Area 5: Increase technical knowledge and professional capacity in industrial hygiene and
                   engineering to assess and manage exposures to silica and other mineral dusts.

                      GPA1.10aa Respiratory Protection Program Development. Project Leader: Heinz
                       Ahlers, hha2@cdc.gov. NIOSH, USA


WHO Regional       PAHO; Maritza Tennasee tennassm@paho.org
offices actively
involved in this

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project (name      EURO: Rokho Kim; rki@ecehbonn.euro.who.int
and email)
                   SEARO: Salma Burton, burtons@searo.who.int

                   WPRO: Hisashi Ogawa ogawah@wpro.who.int

                   AFRO; Thebe Pule pulet@afro.who.int

                   ILO; Igor Fedotov fedotov@ilo.org



Summary of the     This GPA 1.2 Silicosis / Pneumoconiosis Facilitating Project coordinates projects of the
facilitating       Americas Silica Initiative with projects from Africa, Asia, and Europe that will substantially
project (max 100   advance the ILO/WHO Global Campaign to Eliminate Silicosis (and other
words)             Pneumoconioses). This is done by producing and disseminating useful accessible
                   information and products. Projects include activities within regional and national plans,
                   capacity building of professionals such as medical personnel, industrial hygienists, and
                   engineers, enhancing laboratory analysis, and interventions for control of exposures.



Anticipated        Area 1: Develop and augment partnerships with stakeholders including employers,
deliverables by    employees, universities, insurance companies, ministries, and international
2012 from          organizations. Their goal is to increase awareness and to advance national plans
contributing       of action to eliminate pneumoconioses including silicosis
projects


                   Project GPA1.10u Global Silica Information Dissemination. NIOSH USA.

                      NIOSH staff provided training and technical assistance to ISP Chile in 2006 and
                       2007. COMPLETED.
                      Created Spanish website postings on the following topics: Silicosis, Mining,
                       Elimination of Silicosis in the Americas, and the NIOSH Spirometry training guide.
                       Ongoing maintenance of pages is required. COMPLETED.
                      A five member team presented “Sampling and Analysis for Silica and Heavy Metals”
                       in Lima, Peru in September 2008. COMPLETED.
                      Organization of all relevant NIOSH materials, courses, and guides for ease of access
                       by international partners in an electronic library.
                      Provide training and technical assistance to additional countries
                      Produce WHO Fact sheets on Silica and Pneumoconioses
                      Produce WHO/ILO Policy Paper on Pneumoconioses
                      Produce Industrial Hygiene Statistics Train the trainer course.
                      Product a Silica Control Toolkit for the construction industry.


                   Project GPA1.10j National programme on elimination of silicosis. FUNDACENTRO,
                   Brazil.

                      Memoranda of understanding of ministries and partners and program website
                       COMPLETED
                      Brazilian ban on sand as a blasting agent COMPLETED


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        Brazilian ban of dry finishing processes of ornamental stones COMPLETED
        Brazilian ban of dry rock perforation in mining operations COMPLETED
        Publishing of a hazard control manual for ornamental stone works COMPLETED
        Creation of Sectoral Groups that address sectoral needs COMPLETED
        Guidance for control of silica in mineral processing (ornamental stones), ceramic and
         glass, and construction COMPLETED
        Trainings in radiographic reading COMPLETED
        Publishing of a hazard control manual for the ceramics industry
        Certification programme for Brazilian physicians doing X-Ray readings
        Trainings in radiographic reading at national and regional level
        Enforcement of compulsory notification for diagnosed silicosis cases in Brazil
        Enforcement of bans on sand as a blasting agent, dry perforation and dry finishing of
         ornamental stones
        Collaboration with other Portuguese speaking countries in the prevention of crystalline
         silica exposure


     Project GPA1.10z Identification of Global Pneumoconiosis Information Resources.
     NIOSH USA.

            A multi-year project with deadlines to be determined for these anticipated
             outcomes:
            Develop a draft list of resources for partner review by 2012
            Finalize resources list based on review by 2012
            Adapt product list for Internet access from PAHO, NIOSH, WHO, ILO and other
             partner websites by 2012
            Obtain partners‟ input and feedback at development and after dissemination to
             evaluate and/or improve the product list


     Area 2: Increase capacity of physicians and other medical personnel in the
     diagnosis, surveillance, and treatment of pneumoconioses including silicosis



     Project GPA1.10r Training programs and guidance materials for surveillance,
     diagnosis, and treatment of silica exposed workers globally. NIOSH, USA.

        Radiologic reading training courses with partners in Chile for participants from Chile,
         Brazil, Peru, Zambia in 2006.
        Spirometry training and train-the-trainer courses in Chile, South Africa, Zambia in
         2006.
        NIOSH Spirometry Training course and Training Guide (translated into Spanish)
         available at http://www.cdc.gov/niosh/docs/2004-154c/
        NIOSH B Reader Self-Study Syllabus (translated into Spanish and Portuguese)
         available free for use by all http://www.cdc.gov/niosh/docs/2005-103c/default.html
        Electronic availability of NIOSH radiographic reading and spirometry training courses
         and guidance
        Continued collaboration with ILO to make digital reading accessible globally
        Digital Film Repository Library of well characterized digital images accessible for
         submission and for use
        Training Video for Teaching Spirometry, in English and Spanish
        Guidance on use of longitudinal spirometry measures in surveillance and diagnostics,
         in English, Spanish, and Portuguese

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        Guidance for surveillance of silica and silicosis
        Assessment of usage and success of radiographic reading and spirometry training
         courses


     Project GPA1.10x Revision of 1996 WHO monograph: Screening and surveillance
     of workers exposed to mineral dusts. NIOSH, USA.

        Preliminary review has been completed
        New Project Leader has been appointed
        By 2012 Revised monograph for publication by WHO


     Project GPA1.7i Eradication of Silicosis. ACHS, Chile.

        Radiographic reading training courses
        By 2012 Guidance for improved surveillance and treatment programs


     Project GPA1.10t Silica, Silicosis, and Tuberculosis. NIOH, South Africa

        Curriculum and teaching materials for course for health and safety inspectors on Dust
         Control and Measurement - COMPLETED
        Resource on silicosis for health practitioners - Crystalline Silica: Health Hazards and
         Precautions - COMPLETED
        Guideline for isoniazid preventive therapy in workers with silicosis – Guidelines on
         isoniazid preventive therapy (IPT) - COMPLETED
        Handbook for quarry managers – Control of Dust in Resource Poor Quarries in
         Southern Africa - COMPLETED
        Guideline for the surveillance of silica exposed workers in resource poor settings with
         high tuberculosis rates;
        Dependant on copyright issues, adaptation of materials for workers, managers and
         health and safety representatives to support silicosis elimination in mining: (1) Manual
         Preventing Silicosis – a guide for H&S representatives; (2) Deskpad – A Silicosis
         Information Resource – aimed at managers and occupational health practitioners


     Project GPA1.10v Establishment and evaluation of surveillance programs for
     silicosis. NIOEH Vietnam.

        By 2012 Implementation of national surveillance program for silicosis, a component of
         the Vietnam National Plan


     Area 3: Enhance capability in laboratory analysis of crystalline silica and other
     mineral dusts.



     Project GPA1.10e Best Laboratory practices globally for analysis of crystalline
     silica. NIOSH, USA.

        ISO work: Project leader for the ISO work on guidance has been agreed and draft
         guidance is complete. COMPLETED.

16
        ASTM work: Involvement with industry is proving successful in the development of
         guidance and definitions related to air quality and bulk materials. COMPLETED
        Training and QC schemes relating to analytical methods for exposure monitoring and
         assessment have been implemented across South American countries using new
         equipment sourced for this purpose. Further agency cooperation is ongoing.
         COMPLETED.
        July 2007 NIOSH Analytical Methods for Silica, two-week hands-on training for ISP in
         Santiago, Chile. COMPLETED.
        September 2008, Week long workshop in Lima, Peru with CENSOPAS on Sampling
         and Analysis of Silica. COMPLETED.
        2008 Translation of the NIOSH Analytical Method (Crystalline, Silica by IR 7602) into
         Spanish, posted on the NIOSH website at http://www.cdc.gov/spanish/niosh/docs/pdfs
         /7602-sp.pdf COMPLETED.
        By 2012 to establish an inventory of best laboratory practices for precise and accurate
         exposure assessment in collaboration with national and international partners
        By 2012 to publish ISO/ASTM Guidelines for Quality Assurance and Method Selection
         for Crystalline Silica Analysis
        Continue to develop partnerships with other South American Countries (2009-2012).


     Project GPA1.10p Promoting a Regional Diagnosis of exposure to silica ISP, Chile

        ISP established a regional silica analytic laboratory in 2007, trains experts from other
         countries in analytic methods, and provides assistance with laboratory inter-
         comparison program for respirable silica. COMPLETED.
        Collaboration with CENSOPAS has been continued; field training was provided;
         CENSOPAS is part of the actors proposing a National Plan for Elimination of Silicosis
         in Peru.
        Proposal of collaboration with Ecuadorian Institute of Social Security to provide
         training.


     Area 4: Develop, implement, and evaluate control-focused strategies and user-
     friendly tools to prevent exposures to silica and other mineral dusts.



     Project GPA1.10k Development and implementation of Silica Control Tool Kits for
     priority exposure situations in the Americas. NIOSH, USA

        Technical assistance on development of ISP Chile silica toolkits for training on control
         banding. COMPLETED
         Collection and analysis of „control banding‟ systems globally
         http://www.cdc.gov/niosh/topics/ctrlbanding/
        Translation into Spanish (with ISP, Chile) of UK Silica Control Sheets and posting on
         ILO website
         http://bravo.ilo.org/public/spanish/protection/safework/coshh_essentials_silica/index.ht
         m COMPLETED.
        Expand the Training courses to other South American Countries
        Evaluate the Control Banding Method (ECRES) developed by the Chilean ISP.




17
                     Project GPA1.10l Implementation of Control Banding Methodology for Silica
                     Control. ISP Chile.

                        A method for assessing exposure to silica risk was designed and validated; this
                         method is called ECRES (Spanish acronym for Qualitative Assessment of Risk of
                         Exposure to Silica) Available in Spanish at http://www.ispch.cl/ COMPELTED
                        ECRES guidelines were validated and delivered for 4 activities:
                         - Aggregates companies (stone crushing)
                         - Floor tiles factories
                         - Ceramics factories
                         - Dental labs
                        Training of local health authority in the use of ECRES Guidelines COMPLETED
                         ECRES guidelines for the most important activities with exposure to Silica, with focus
                             on

                         small and medium enterprises

                        Evidence of use of these guidelines in at least two branches


                     Project GPA1.10i Development of Risk Management Toolkit for Silicosis in Small
                     Silica Flour Milling Units. NIOH, India

                        All of the mills at Godhra have installed control measures to reduce dust exposure.
                         COMPLETED
                        Continuous bagging is stopped in all of the units, thus exposure time for bagging is
                         reduced from 6-8 hours to one hour per shift. COMPLETED
                        Dr. Scott Clark from University of Cincinnati visited these plants in 2008.
                         COMPLETED
                        Dust control devices having hoods at feeding of raw material and manual bagging has
                         been designed and installed at one of the ball mills.
                        Reduction in total dust is 89.04% to 96.90% and for respirable dust 77.5% to 84.91%.


                     Area 5: Increase technical knowledge and professional capacity in industrial
                     hygiene and engineering to assess and manage exposures to silica and other
                     mineral dusts.



                     Project GPA1.10aa Respiratory Protection Program Development. NIOSH, USA.

                        Respirator programs implemented to prevent toxic dust exposure in mining in at least
                         two South American countries. Current targets are Chile and Columbia.


Critical Gaps to        Coherent set of accomplishments in the Americas that could be modified and
be filled by 2012        implemented in other regions
in order to fulfil      Additional projects are needed in the area of pneumoconiosis and mineral dusts.
GPA priorities          Projects describing national programs as models for countries considering them
(these lead to
deliverables



18
desired by 2012)



Examples of           Promotion by ILO and WHO of model national programs (e.g. Brazil)
deliverables          Electronic library of tools and information for all four areas related to silica
desired by 2012       Electronic library of tools and information for pneumoconioses
to adequately         Practical surveillance system models
assist countries      Plan for expansion of successes to other regions and countries
to substantially      Train-the-Trainer Programs for Radiographic Readers in X countries in Latin America
                      Model Spirometry Programs in place in X countries
reduce silica
and other dust-
related
diseases. It is
these
deliverables for
which we will
seek projects
from CCs

Barriers to           High rotation of personnel in the region
success that          Acquiring funding for global projects
must addressed




19
FACILITING         GPA1.3: Asbestos-Related Diseases Global Facilitating
PROJECT
(administrative)
                   Project
                   (with projects organized by area of work)
Work plan
project

number

Facilitating       Strategies and programmes for elimination of asbestos-related diseases (ARDs)
Project title

GPA Objective      GPA Objective 1: To devise and implement policy instruments on workers’ health




GPA Action         WHO will work with Member States to strengthen the capacities of the ministries of health to
1.10               provide leadership for activities related to workers‟ health, to formulate and implement
                   policies and action plans, and to stimulate intersectoral collaboration. Its activities will
                   include global campaigns for elimination of asbestos-related diseases - bearing in mind a
                   differentiated approach to regulating its various forms - in line with relevant international
                   legal instruments and the latest evidence for effective interventions, as well as immunization
                   of health-care workers against hepatitis B, and other actions addressing priority work-related
                   health outcomes.



Priority Area      Priority 1.3: Develop and disseminate evidence-based prevention tools and raise
                   awareness for the elimination of asbestos-related diseases (ARDs)



Purpose of         This Facilitating Project aims to establish synergies between the on-going global, regional
Facilitating       and country efforts on elimination of asbestos-related diseases, such as the Asian Asbestos
Project            Initiative [AAI] to substantially advance the ILO/WHO Global Campaign to Eliminate
                                                                                th
                   Asbestos-Related Diseases (ARDs) as set forth by: i) the 13 Session of the Joint ILO/WHO
                   Committee on Occupational Health in 2003; ii) WHO Recommendations from 2006 on
                   Elimination of Asbestos-Related Diseases and iii) the WHO/ILO Outline for the Development
                   of National Programmes for Elimination of Asbestos-related Diseases from 2007.



                   The Asian Asbestos Initiative (AAI) is an on-going regional approach to advance the
                   ILO/WHO Campaign. It aims at the sharing and transferring of core preventive technologies
                   among concerned parties, eg, academicians and administrators, for the elimination of ARDs.
                   It strives to develop and augment partnerships with stakeholders including employers,

20
                workers, international organizations, ministries, universities, research institutes, and NGOs.
                All on-going regional projects with similar goals as AAI will be integrated and grouped into
                four areas, three of which correspond to the three levels of preventive activities, and the
                fourth of which is designated to monitor progress of the entire spectrum of preventive
                activities:



                Area 1: (Primary Prevention) Develop, promote, share and transfer technologies for
                abatement and substitution of asbestos as well as for reduction of exposure. Core
                technologies for exposure reduction include measurement of fibre concentration in work
                environment and asbestos-containing products, and industrial hygienic methods such as
                containment, local exhaust systems and use of protective masks.



                Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for
                early and effective detection of ARDs combined with an introduction and maintenance of a
                surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X-
                ray and CT techniques to detect asbestosis, pleural plaques and malignancies; ii)
                pathological diagnosis of mesothelioma; iii) identification and quantification of asbestos
                fibers and asbestos bodies in lung specimen and broncho-alveolar lavage fluid; iv)
                biomarkers for early detection of ARDs.



                Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for
                effective treatment and just compensation of ARDs. Core technologies include new
                treatment and clinical management options for mesothelioma as well as design and
                implementation of just compensation schemes.



                Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic
                review and report.



GPA Manager     Claudina Nogueira – NIOH, South Africa



CC Initiative   Ken Takahashi; ktaka@med.uoeh-u.ac.jp
Leader and
contact         Department of Environmental Epidemiology, IIES,
information
                University of Occup & Environ Health,

                Iseigaoka 1-1, Yahatanishiku, Kitakyushu City

                JAPAN 807-8555



21
                  TEL: +81-93-601-7324 FAX:+81-93-601-7324



WHO               Ivan Ivanov ivanovi@who.int
responsible
person            Hisashi Ogawa ogawahi@wpro.who.int



Collaborating     Projects are organized by area:



centre partners   Area 1: (Primary Prevention) Develop, promote, share and transfer technologies for
with separate     abatement and substitution of asbestos as well as for reduction of exposure. Core
contributing      technologies for exposure reduction include measurement of fibre concentration in work
PROJECTS          environment and asbestos-containing products, and industrial hygienic methods such as
(List CC,         containment, local exhaust systems and use of protective masks.
project title,
project number,      GPA1.10g Establishment of infrastructure to evaluate risk of asbestos exposure. Project
project leader,       Leader: Hyunwook Kim hwkim@catholic.ac.kr Catholic Industrial Medical Centre
                      (CIMC), Korea
and email)
                     GPA1.10o Training on asbestos and its identification. Project Leader: James Ian Phillips
                      jim.phillips@nioh.nhls.ac.za National Institute for Occupational Health (NIOH), South
                      Africa
                     GPA1.10q Support in the methodology to train workers involved in asbestos removal
                      activities. Project Leader: Juan Alcaino Lara jalcaino@ispch.cl Instituto de Salud Publica
                      de Chile
                     GPA1.10h Consistency in laboratory analysis of samples to determine airborne
                      concentrations of asbestos and other fibres. Project Leader: Alan Jones
                      alan.jones@iom-world.org Institute of Occupational Medicine, UK
                     GPA1.10w AFRICA [i.e., an international proficiency testing scheme for laboratories
                      that measure airborne asbestos fibre concentrations using the phase contrast optical
                      microscopy counting method] Fibre Counting Scheme. Project Leader: Alan Jones
                      alan.jones@iom-world.org Institute of Occupational Medicine, UK


                  Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for
                  early and effective detection of ARDs combined with an introduction and maintenance of a
                  surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X-
                  ray and CT techniques to detect asbestosis, pleural plaques and malignancies; ii)
                  pathological diagnosis of mesothelioma; iii) identification and quantification of asbestos
                  fibers and asbestos bodies in lung specimen and broncho-alveolar lavage fluid; iv)
                  biomarkers for early detection of ARDs.

                     GPA1.10a Establishment of malignant mesothelioma surveillance system. Project
                      Leader: Hyoung Ryoul Kim cyclor@catholic.ac.kr Catholic Industrial Medical Centre
                      (CIMC), Korea
                     GPA1.10d Detection of impaired lung function in early stages of asbestosis by means of
                      gas diffusion parameters. Project Leader: Alexandra Preisser
                      alexandra.preisser@bsg.hamburg.de Institute of Occupational Medicine and Maritime
                      Medicine, Hamburg, Germany
                     GPA1.10f Lung function reduction associated with different levels of occupational

22
                       exposure to asbestos particles. Project Leader: Lenka Rychla lrychla@szu.cz Center for
                       Occupational Health at the National Institute of Public Health, Prague, Czech Republic


                   Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for
                   effective treatment and just compensation of ARDs. Core technologies include new
                   treatment and clinical management options for mesothelioma as well as design and
                   implementation of just compensation schemes.

                      Currently not directly applicable but 1.10c has a component in this area


                   Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic
                   review and report.

                      GPA1.10b The national strategic plan and action for prevention and control of asbestos
                       related diseases in Thailand. Project Leader: Somkiat Siriruttanapruk
                       somkiatk@health.moph.go.th Bureau of Occupational and Environmental Diseases,
                       Ministry of Public Health, Thailand
                      GPA1.10c Asian Asbestos Initiative. Project Leader: Ken Takahashi
                       ktaka@med.uoeh-u.ac.jp University of Occupational and Environmental Health, Japan

                      GPA1.10bb Sound management of priority industrial carcinogens, incl. asbestos in
                       Thailand, Indonesia and Sri Lanka. Project Leader: Ivan Dimov Ivanov ivanovi@who.int
                       World Health Organization
                      New - GPA1.10cc Regional Asbestos Atlas of the Americas. Project Leader: Dr Luz
                       Maritza Tennassee tennassm@paho.org PAHO
                      New - GPA1.10dd Epidemiological surveillance system for the ARDS: operative tools
                       for monitoring and prevention. Project Leader: Alessandro Marinaccio
                       alessandro.marinaccio@ispesl.it and Alessandra Binazzi alessandra.binazzi@ispesl.it
                       ISPESL – National Institute for Occupational Prevention and Safety, Italy

                      New – GPA1.10yy Development of toolkit for elimination of asbestos related diseases.
                       Project Leader: Ken Takahashi ktaka@med.uoeh-u.ac.jp and Seong-Kyu Kang
                       skk@kosha.net UOEH – University of Occupational and Environmental Health, Japan


WHO Regional       PAHO; Maritza Tennasee tennassm@paho.org
offices actively
involved in this   EURO: Rokho Kim; rki@ecehbonn.euro.who.int
project (name
                   SEARO: Salma Burton, burtons@searo.who.int
and email)
                   WPRO: Hisashi Ogawa ogawah@wpro.who.int

                   AFRO; Thebe Pule pulet@afro.who.int

                   ILO; Igor Fedotov fedotov@ilo.org



Summary of         This GPA 1.3 Asbestos-Related Diseases Global Facilitating Project coordinates ongoing
the                efforts in Asia (eg, Asian Asbestos Initiative [AAI]) with projects from Africa, Europe and
                   Americas that will substantially advance the ILO/WHO Global Campaign to Eliminate

23
facilitating      Asbestos-Related Diseases (ARDs). Academia and administrators will take the lead and
project (max      collaborate with other concerned parties. Projects include activities within regional and
100 words)        national plans to share and transfer core preventive technologies for the elimination of
                  ARDs at all three levels of prevention, improved estimation of the global burden of ARDs
                  and the active formulation of NPEAD by countries.



Anticipated       Area 1 (Primary Prevention) Develop, promote, share and transfer technologies for
deliverables by   abatement and substitution of asbestos as well as for reduction of exposure. Core
2012 from         technologies for exposure reduction include measurement of fibre concentration in work
contributing      environment and asbestos-containing products, and industrial hygienic methods such as
projects          containment, local exhaust systems and use of protective masks.



                  Project GPA1.10g Establishment of infrastructure to evaluate risk of asbestos
                  exposure. Catholic Industrial Medical Centre (CIMC), Korea

                     Support Ministry to create provision, training, etc for asbestos demolition, clearance, etc.
                      In progress.
                     Submit report to Ministry of Labor recommending expertise, guidance, training and ban
                      on use/import of asbestos products. Use and import of all forms of asbestos is now
                      banned in Korea, effective from Jan 2009.
                     Design microscopy course for analysts and establish quality control schemes. Courses
                      have been designed and are being offered by KOSHA and NIER. Quality control
                      schemes are being offered through KOSHA and will be offered by NIER also in the near
                      future.
                     Establish educational institute for asbestos. Educational programs for workers,
                      supervisors and contractors are being offered by two private institutes and KOSHA.
                     Establish training laboratories dealing with asbestos and making accreditation system.
                      There are now over 50 labs participating QC schemes of KOSHA which will be
                      accredited if they pass the QC rounds.
                     Develop substitute for asbestos
                     Collaborate with other WHO partners


                  Project GPA1.10o Training on asbestos and its identification. National Institute for
                  Occupational Health (NIOH), South Africa

                     Develop training materials and training course content (2006)
                     Implement training courses (2007)
                     Establish a regional reference and training centre in conjunction with the Occupational
                      Hygiene Section of the NIOH (2008)
                     Disseminate information to SADC region and associations of occupational and
                      environmental hygienists


                  Project GPA1.10q Support in the methodology to train workers involved in asbestos
                  removal activities. Instituto de Salud Publica de Chile.

                     Disseminate training manual in hard copy and CD and conduct phone conferences to
                      support and train workers involved in asbestos removal activities


24
        Coordinate efforts between other national and regional institutions responsible for
         workers health


     Project GPA1.10h Consistency in laboratory analysis of samples to determine
     airborne concentrations of asbestos and other fibres. Institute of Occupational
     Medicine, UK.

        Standardization of fiber counting methods in Europe
        Wider application of proficiency testing (PT) across individual analysts and labs
        Adoption of the WHO all-fibre counting method
        Improve and maintain consistency in the analysis of airborne concentration of fibers;
         assess the effect of change to a new method of fibre counting.
        Coordination with WHO-CCs in Korea (Catholic University) and South Africa (NIOH)
        Disseminate information on progress and findings to laboratories worldwide by reports
         and published paper(s).


     Project GPA1.10w AFRICA Fibre Counting Scheme. Institute of Occupational Medicine,
     UK [“AFRICA” is an international proficiency testing scheme for laboratories that measure
     airborne asbestos fibre concentrations using the phase contrast optical microscopy counting
     method]

        Enable participating laboratories to compare their counting levels with those of other
         laboratories with reference counts, for quality control.
        Regular operation of scheme‟s core function of 2009
        Formulate reviews of general patterns of international comparability (2010-2012)
        Increase membership to the scheme especially from developing countries
        Publish peer review paper on outcome, methodological advances, etc.
        Publicize proficiency status of participating labs on IOM website COMPLETED


     Area 2: (Secondary Prevention) Develop, promote, share and transfer technologies for
     early and effective detection of ARDs combined with an introduction and maintenance of a
     surveillance system for ARDs. Core technologies for detection of ARDs include: i) chest X-
     ray and CT techniques to detect asbestosis, pleural plaques and malignancies; ii)
     pathological diagnosis of mesothelioma; iii) identification and quantification of asbestos
     fibers and asbestos bodies in lung specimen and broncho-alveolar lavage fluid; iv)
     biomarkers for early detection of ARDs.



     Project GPA1.10a Establishment of malignant mesothelioma surveillance system.
     Catholic Industrial Medical Centre (CIMC), Korea.

        Support screening system of ARDs in Indonesia [where factories moved to from Japan
         and Korea] (Dec 2009)
        Designation of special acts for compensation for environmental ARDs (Dec 2010)
        Prediction of peak time of the mesothelioma epidemic in Korea (Dec 2012)
        Development of homepage or blog to assist ARD patient and to communicate with
         other researchers



25
     Project GPA1.10d Detection of impaired lung function in early stages of asbestosis by
     means of gas diffusion parameters. Institute of Occupational Medicine and Maritime
     Medicine, Hamburg, Germany.

        Development of sensitive diagnostic tool for asbestos-induced plaques and asbestosis
         at early stages as well as evidence-based recommendations for detecting early stages
         of benign ARDs.
        Objectify functional impairment of pleural plaques and initial parenchymal fibrosis by
         means of DL, CO, the new analyzing method DL, NO, and the alveolar-arterial PO2
         difference in the exercise test (spiroergometry)
        Compare data with spirometry, compliance, CXR/CT and estimated cumulative dose of
         asbestos
        Dissemination of findings as ISO guidelines, ASTM guidelines, IOHA presentations,
         NIOSH website, etc.


     Project GPA1.10f Lung function reduction associated with different levels of
     occupational exposure to asbestos particles. Center for Occupational Health at the
     National Institute of Public Health, Prague, Czech Republic.

        Selection of study subjects from database of former workers occupationally exposed to
         asbestos (2006)
        Data-entry and processing of follow-up data from lung function tests and chest films
         (2007-2009)
        Statistical analysis of data and final assessment of reduction of selected lung function
         parameters in study groups. Integration of results to estimate post-exposure
         progression of lung function damage (2009-2010)
        Dissemination of findings as meeting reports, publications and WHO documents


     Area 3: (Tertiary Prevention) Develop, promote, share and transfer technologies for
     effective treatment and just compensation of ARDs. Core technologies include new
     treatment and clinical management options for mesothelioma as well as design and
     implementation of just compensation schemes.



     Area 4: (Monitoring Progress) Compile and report NPEAD (ILO/WHO) with periodic review
     and report.



     Project GPA1.10b The national strategic plan and action for prevention and control of
     asbestos related diseases in Thailand. Bureau of Occupational and Environmental
     Diseases, Ministry of Public Health, Thailand.

        Description of asbestos situation at national and local levels
        Implementation of control methods, e.g.
        Labelling of warning signs on asbestos-containing products (2009)
        Development of ARD surveillance system (2010)
        Cut use of asbestos by 25% (2012)




26
     Project GPA1.10c Asian Asbestos Initiative. University of Occupational and
     Environmental Health, Japan

        Sharing and transferring of core technologies in preventing ARDs through development
         of training tools and organization of international seminars
        Development of training tools for expert training on prevention of ARDs, e.g. video
         COMPLETED
        Elaboration of national profiles on asbestos use and ARDs (2010)
        Initiate surveillance system of asbestos exposure and ARDs (2011)
        Organization of annual international seminars (2008 completed, 2009 scheduled in
         Thailand, 2010 scheduled in Japan)


     Project GPA1.10bb Sound management of priority industrial carcinogens, including
     asbestos in Thailand, Indonesia and Sri Lanka. WHO Global Occupational Health
     Programme, Bureau of Occupational and Environmental Diseases, Ministry of Public Health
     of Thailand, Directorate for Occupational Health, Ministry of Health of Indonesia,
     Department of Public Health Services, Ministry of Health of Sri Lanka.

        Draft national programme on elimination of ARDs prepared in Thailand COMPLETED
        National programme on elimination of ARDs finalised in 3 countries by 2012
        Development of national profiles of industrial carcinogens (May 2010); Priority setting
         (September 2010); Development of national report on proposed preventive
         interventions (May 2011)


     NEW - Project GPA1.10cc Regional Asbestos Atlas of the Americas. PAHO

     Individual countries need to inventory their use of asbestos and asbestos products:

             Contact the key people who will write the history (e.g., on asbestos use as well as
              recognition and management of ARDs) of their countries
            Submit letters to the Ministries of Health, Labour and Economy to inform about the
              project and to facilitate the gathering of information
            Follow up on progress during the process
     It is hoped that this project will contribute to the Global Elimination of ARDs by overcoming
     known barriers such as:

            In some of the countries, the access to asbestos data is very challenging and difficult
            Asbestos must be given a higher profile on the regional health agenda
            Coordination of efforts with diverse regional stakeholders will contribute to the
             elimination of ARDs across the Americas Region as well as global partners in other
             Regions


     NEW - Project GPA1.10dd Epidemiological surveillance system for the ARDS:
     operative tools for monitoring and prevention. ISPESL - National Institute for
     Occupational Prevention and Safety, Italy

            Review of existing ARDs surveillance systems worldwide [2010]
            Comparison of methodologies applied and standardisation of procedures [2010]
            Availability of tools from the Italian mesothelioma surveillance system (territorial
             organization of the Register, national guidelines establishing standardised methods


27
                            of cases collection and diagnostic criteria, standardised questionnaire for retrieving
                            occupational and residential histories and lifestyle habits, catalogue of economic
                            sectors with asbestos exposure) [2011]
                           Development of methodologies and procedures for ARDs surveillance to be applied
                            in developing countries [2012]


                    NEW – Project GPA1.10yy Development of toolkit for elimination of asbestos related
                    diseases. UOEH - University of Occupational and Environmental Health, Japan

                               Compilation of collected and newly developed information and technical
                                materials into a comprehensible and usable toolkit
                               The toolkit will be developed as a joint effort of concerned partners collaborating
                                on the existing platform of the Asian Asbestos Initiative (AAI)
                               Submission of toolkit product to a funding agency, after completion
                               Strengthening of networks and promotion of the application of the toolkit


Critical Gaps to    o   Additional projects are needed in the area of tertiary prevention, i.e. effective treatment
be filled by            and just compensation of ARDs
2012 in order to    o   Formulate a regional model based on accomplishments in Asia (i.e. priority region in
                        terms of needs) to translate and implement in other regions
fulfil GPA
                    o   Develop practical tools for control of exposure to asbestos
priorities (these   o   Assess health and environmental impacts of continuing use of asbestos
lead to             o   Collect evidence on the effectiveness of asbestos substitution
deliverables
desired by
2012)

Examples of         o   Complete and update NPEAD for representative countries
deliverables        o   Construct and maintain specific website for NPEAD for other countries to follow
desired by          o   Improve estimation of global burden of ARDs
                    o   Compile good practices for substitution and exposure reduction
2012 to
                    o   Review national status on health surveillance of exposed in combination with early
adequately              detection of ARDs
assist countries    o   Promotion by ILO and WHO of model national programs (e.g. Thailand, Vietnam)
to substantially    o   Electronic library of tools and information for the elimination of ARDs
reduce silica       o   Involve international organizations in addition to WHO/ILO, e.g. UNU, UNEP
and other dust-     o   Increase number of countries adopting: i) ILO Asbestos Convention; ii) ban on asbestos
related                 use; iii) roadmap towards ban
diseases. It is
these
deliverables for
which we will
seek projects
from CCs

                    o   Account for differences in national/regional phases on use of asbestos and status of
                        ARDs
Barriers to         o   Give the issue a higher place on the global health agenda and acquire grants for global
success that            projects from a wider range of funding organizations, including those dealing with global
must                    health
                    o   Coordinate efforts with on-going activities by grass-roots and other organizations
                    o   Insufficient national capacities for sound management of hazardous chemicals and

28
addressed              substances




FACILITING
PROJECT
                       GPA1.4: Protection of Health Workers Global Facilitating
(administrative)
                       Project
Work plan project
number                 Promotion of occupational safety and health among health workers globally

Facilitating Project
                       Health worker occupational safety and health (HWOSH)
Title

GPA Objective          GPA Objective 1: To devise and implement policy instruments on workers’ health

                       Specific programmes should be established for occupational health and safety of health
GPA Action 1.9
                       care workers.

                       Priority 1.4: Conduct studies and develop evidence-based tools and information
Priority Area          materials for the comprehensive protection and promotion of health for health
                       care workers, emphasizing HBV immunization.

                       This Facilitating Project aims to support the development and implementation of national
                       policies and programmes (including occupational health services) to protect health
                       workers. The project will coordinate international efforts to assess risks, develop and
                       implement practical tools for prevention, and evaluate their impact. Successful tools and
                       lessons learned will be shared.

                       Current projects with this aim have been grouped into these areas:



                       Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne
Purpose of             (influenza, TB,
Facilitating Project
                               SARS, etc)

                       Area 2: Musculoskeletal disorders / Ergonomics
                       Area 3: Psychosocial hazards and work organization / Workplace violence
                       Area 4: Pharmaceutical and chemical risks
                       Area 5: Comprehensive programmes including Risk Assessment / Risk
                       Management

                               tools and information



                       Claudina Nogueira – NIOH, South Africa
GPA Manager

29
CC Initiative
Leader and             Maria Lioce-Mata, NIOSH, USA cru6@cdc.gov
contact information    Ahmed Gomaa, NIOSH, USA agomaa@cdc.gov
WHO responsible
                      Susan Wilburn wilburns@who.int
person

                      Projects are organized by area:



                      Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne
                      (influenza, TB, SARS, etc)
                       GPA1.9l Risk Assessment for Health Care Workers. Project Leader: Tao Li
                           niohplt@sina.com NIOH, China.
                       GPA1.9n Protecting Health Care Workers in International Settings. Project Leader:
                           Ahmed Gomaa agomaa@cdc.gov NIOSH, USA.
                       GPA1.9q Prevention of Needlestick Injuries in Health Care Workers. Project Leader:
                           Busisiwe Nyantumbu busisiwe.nyantumbu@nioh.nhls.ac.za NIOH, South Africa.
                       GPA1.9x Establishing health and safety programs for health care workers in
                           Vietnam. Project Officer: Nguyen Duy Bao baovsld@yahoo.com NIOEH, Vietnam.
                       GPA1.9z Protecting health care workers from needlestick injuries in Afghanistan.
                           Project Officer: Margaret Kitt ajy8@cdc.gov NIOSH, USA
                       New GPA1.9dd Joint WHO-ILO Policy Guidelines for improving health worker
Collaborating              access to HIV and TB prevention, treatment, care and support. WHO / ILO
                           Switzerland, Project Leader: Susan Wilburn wilburns@who.int
centre partners
                       New GPA 1.9gg Training program on occupational health surveillance and
with separate              prevention of blood exposures among healthcare workers. International Healthcare
contributing               Worker Safety Center (IHWSC), University of Virginia, USA. Project leader: Janine
PROJECTS (List             Jagger jcj@virginia.edu
CC, project title,
project number,       Area 2: Musculoskeletal disorders / Ergonomics
project leader, and    GPA1.9c Controlling Occupational Safety and Health Hazards among Health Care
                         Workers. Project Leader: Masaya Takahashi takaham@h.jniosh.go.jp JNIOSH,
email)
                         Japan
                       GPA1.9d (Project Completed) Prevention management program of musculoskeletal
                         diseases using the participatory action oriented training (PAOT) in the health care
                         workers. Project Leader: Jung-Wan Koo jwkoo@catholic.ac.kr CIMC, Korea
                       GPA1.9e An ergonomics audit in South African public hospitals. Project Leader:
                         Busisiwe Nyantumbu (previously Ms S Dyosi) busisiwe.nyantumbu@nioh.nhls.ac.za
                         NIOH, South Africa


                      Area 3: Psychosocial hazards and work organization / Workplace violence
                       GPA1.9g Job stress surveillance in health care workers. Project Leader: Marisol
                         Concha mconcha@achs.cl and Rodrigo Pezo rpezo@achs.cl ACHS, Chile
                       GPA1.9t Countries in transition: how to promote health at work in health
                         organizations. Project Leader: Jadranka Mustajbegovic jmustajb@snz.hr and
                         Jovanka Karadzinska Bislimovsk mk,bislimovska_j@yahoo.com University of
                         Zagreb, Croatia and IOH, Macedonia.
                       GPA1.9u How to maintain health care workers workability and quality of life. Project
                         Leader: Jadranka Mustajbegovic jmustajb@snz.hr University of Zagreb, Croatia.
                       GPA1.9aa Changing world of work in nursing sector and migration: developing
                         preventive strategies. Project Leaders: Sergio Iavicoli Sergio.iavicoli@ispesl.it and
                         Antonio Valenti Antonio.valenti@ispesl.it ISPESL-Department of Occupational
                         Medicine ITALY


                      Area 4: Pharmaceutical and chemical risks

30
                      GPA1.9h Occupational risks in Cuban health care workers: exposure assessment,
                       prevention, training and guidelines. Project Leader: Silvia Fustinoni
                       sivia.fustinoni@unimi.it , M.E. Linares, H.Diaz heliodora.diaz@infomed.sld.cu , and
                       Patrizia Deitinger patrizia.deitinger@ispel.it Clinica del Lavoro, Italy and INSAT,
                       Cuba.
                      GPA1.9i Assessment of exposure to antineoplastic agents in pharmacy and hospital
                       personnel. Project Leader: Rudi Schierl Rudolf.schierl@med.uni-muenchen.de
                       University Munich, Germany.
                      New GPA1.9cc Developing tools for the safe handling of hazardous drugs. Project
                       Leader: Melissa McDiarmid Mmcdiarm@medicine.umaryland.edu

                   Area 5: Comprehensive programmes including Risk Assessment / Risk
                   Management tools and information
                    GPA1.9j Identification and prevention of occupational risks for health care workers.
                      Project Leader: Mary Ross mary.ross@debeersgroup.com assisted by Claudina
                      Nogueira claudina.nogueira@nioh.nhls.ac.za for NIOH, South Africa
                    GPA1.9m Assessment of Environmental and Health Risks in a Mega Hospital (Cairo
                      University Hospitals). Project Leader: Hussein abd el hay Ibrahim
                      Husseinabdelhay_ibrahim@yahoo.com NIOSH, Egypt.
                    GPA1.9p (Project Completed) Video-Conference Seminar on usage of personal
                      protective equipment for health care workers. Project Leader: Chia Sin Eng
                      cofcse@nus.edu.sg National University of Singapore.
                    GPA1.9r Latex Allergy and Asthma-Risk management programme for healthcare
                      workers. Project Leader: Tanusha Singh tanusha.singh@nioh.nhls.ac.za NIOH,
                      South Africa.
                    GPA1.9s Enhanced diagnosis and management of pulmonary tuberculosis: flow
                      sheet for healthcare workers. Project Leader: Jill Murray jill.murray@nioh.nhls.ac.za
                      NIOH, South Africa.
                    GPA1.9v Assessment of the present working conditions and specific features of
                      promoting health, safety, and well-being in health sector in the Republic of
                      Bashkortostan. Project Leader: Akhat B. Bakirov, Ufa Research Institute of
                      Occupational Health and Human Ecology, Republic of Bashkortostan.
                    GPA1.9w WHO/Trade Unions Network on Implementing Workers Health Initiatives.
                      Project Leader: Peter Orris porris@uic.edu Great Lakes Centers, USA.
                    GPA1.9y Training of trainers on the usage of respiratory protection for health care
                      workers in Cambodia who work with suspected avian influenza patients. Project
                      Leader: Sin-Eng Chia sin_eng_chia@nuhs.edu.sg NUS, Cambodia.
                    GPA1.9bb The evaluation of immunodiagnostic tests for TB infection and
                      determinants of such infection in a population of South African health care workers.
                      Project Leader: Shahieda Adams shahieda.adams@uct.ac.za UCT, South Africa.
                    New Project GPA1.9ee The comprehensive protection and promotion of health for
                      health care workers in the UAE, emphasizing hepatitis B immunizations. Project
                      Leader: Tar-Ching Aw Tcaw88@gmail.com, United Arab Emirates University, UAE
                    New Project GPA1.9ff Prevention and control of occupational hazards and risk in
                      the healthcare sector. Project Leader: Melissa McDiarmid
                      mmcdiarm@medicine.umaryland.edu, UMD, USA.




                   PAHO:
WHO Regional       EURO: Rokho Kim; rki@ecehbonn.euro.who.int
offices actively   SEARO:
involved in this   WPRO: Sharon Salmon salmons@wpro.who.int
                   EMRO:

31
project           ILO:

                  This GPA 1.4 Protection and Promotion of Health Care Workers is intended to conduct
                  studies and develop evidence-based tools and information materials for the
                  comprehensive protection and promotion of health for health care workers, emphasizing
                  HBV immunization. This is done by evaluating risks and producing and disseminating
                  useful accessible information and products. Projects include best practices, tools and
                  guidance that can be used in training, and information dissemination.

Anticipated       Area 1: Biological hazards: bloodborne (HIV, hepatitis, etc) and airborne
deliverables by   (influenza, TB, SARS, etc)
2012 from
                  Project GPA1.9l Risk Assessment for Health Care Workers. NIOH, China.
contributing
                       Conduct investigations at various institutions to study the risk of bloodborne
projects                  pathogen injuries - COMPLETED
                       Provide an opinion on a Bloodborne Pathogen Standard - in draft

                  Project GPA1.9n Protecting Health Care Workers in International Settings. NIOSH,
                  USA.
                       Work with multidisciplinary teams to conduct baseline assessments and expert
                          opinion to create the WHO tool kit; piloted the tool kit and launched at SIGN
                          2005 - COMPLETED
                       Build a network of support for country policy on HCW safety - ongoing
                       Develop and disseminate Aide Memoire for HCW occupational health and safety
                       Expand project in Vietnam to consider all hazards to HCWs; share experience in
                          SE Asia and provide technical assistance to develop national HCW policy and
                          programs
                       Develop campaign to immunize HCWs against hepatitis B - ongoing
                       Explore needlestick prevention project implementation with EMRO
                       Consult on model health care waste management project between WHO and
                          UNEP
                       Publish two new booklets in the WHO Protecting Workers Health series


                  Project GPA1.9q Prevention of Needlestick Injuries in Health Care Workers. NIOH,
                  South Africa.
                       Pilot toolkit
                       Facilitate training of HCW using these materials
                       Incorporate the materials into the curricula for medical students
                       Produce information materials (posters and brochures)


                  Project GPA1.9x Establishing health and safety programs for health care workers
                  in Vietnam. NIOEH, Vietnam.
                       Conduct baseline studies on HCWs in Vietnam - COMPLETED
                       Develop evidence-based tools and information materials for comprehensive
                          protection, emphasizing HBV immunization


                  Project GPA1.9z Protecting health care workers from needlestick injuries in
                  Afghanistan. NIOSH, USA.
                       Appointment of MOPH Programme Manager – Hired March 2010
                       Begin project implementation in Bamyan Province for 700 healthcare workers –


32
             Completed


     NEW - Project GPA1.9dd Joint WHO-ILO Policy Guidelines for improving health
     worker access to HIV and TB prevention, treatment, care and support. WHO / ILO,
     Switzerland.
          Endorsement by ILO and WHO governing bodies of both documents (TB and
         HIV)
          Substantial implementation of the guidelines in countries

     NEW – Project GPA 1.9gg Training program on occupational health surveillance and
     prevention of blood exposures among healthcare workers. University of Virginia, USA.

                    2011- training in Croatia, and ongoing support for development in Ireland
                     and China
                    2012- training in two sites TBD, and ongoing support for existing users.
                     Support of user network.


     Area 2: Musculoskeletal disorders / Ergonomics

     Project GPA1.9c Controlling Occupational Safety and Health Hazards among
     Health Care Workers. JNIOSH, Japan
          Evidence based information on ways to improve working conditions for HCWs in
             terms of work schedules, musculoskeletal disorders, and needlestick / sharps
             injuries
          Peer-reviewed publications on findings - five publications completed thus far
          Production of guidance document


     Project GPA1.9d (Project Completed) Prevention management program of
     musculoskeletal diseases using the participatory action oriented training (PAOT)
     in the health care workers. CIMC, Korea.
          1 session of PAOT workshop - COMPLETED
              st

          2 -6 session to be held within same hospital
              nd th

          Possible expansion of PAOT to other hospitals


     Project GPA1.9e An ergonomics audit in South African public hospitals. NIOH,
     South Africa.
          Pilot project in one of the public hospitals - COMPLETED
          Prepare protocol for a full study to be conducted in public hospitals in all South
             African provinces
          Conduct full study
          Develop a database on prevalence of musculoskeletal pain among SA nurses
          Develop guidelines for prevention
          Disseminate information through workshops and seminars, publication of
             materials


     Area 3: Psychosocial hazards and work organization / Workplace violence

     Project GPA1.9g Job stress surveillance in health care workers. ACHS, Chile.
          Literature review - COMPLETED


33
            Proposal development based on a two-step survey
            Derive interventions based on data on stress levels
            Evaluate impact of interventions
            Disseminate findings


     Project GPA1.9t Countries in transition: how to promote health at work in health
     organizations. University of Zagreb, Croatia and IOH, Macedonia
          Conduct cross-sectional study in four hospitals in Zagreb and data analyzed -
             COMPLETED
          Apply the tool for perceived workplace stressors in other health workforces.
          Develop the tool for perceived workplace stressors among other health
             workforce
          List the mayor stressors in healthcare sector


     Project GPA1.9u How to maintain health care workers workability and quality of
     life. University of Zagreb, Croatia
           Develop toolkit, action plan and regional cooperation network
           Analyze data and publish results
           Outreach to hospital management organizations
           Reach out to hospital management (meetings, workshops)
           Develop final guidance document on national and regional levels


     Project GPA1.9aa Changing world of work in nursing sector and migration:
     developing preventive strategies. ISPESL, Italy.
          Questionnaire to identify gaps and needs in OSH for nursing sector;
          Dissemination of results
          Tools for information and prevention in nursing sector


     Area 4: Pharmaceutical and chemical risks



     Project GPA1.9h Occupational risks in Cuban health care workers: exposure
     assessment, prevention, training and guidelines. Clinica del Lavoro, Italy and INSAT,
     Cuba.
          Published Italian Information on urinary levels of anaesthetic gases translated
             into Spanish and presented to Cuban colleagues - COMPLETED
          Develop assays for measuring airborne exposure to anaesthetic gases (ongoing)
             and thereby improving technical capacity of labs in Cuba
          Develop training programs
          Publish guidelines on risk management

     Project GPA1.9i Assessment of exposure to antineoplastic agents in pharmacy
     and hospital personnel. University of Munich, Germany.
          Wipe-kit for antineoplastic agents that can be used in hospitals and pharmacies
             was tested in 50 hospitals in Germany and a large hospital in Paris -
             COMPLETED
          Two publications in peer-reviewed journals on wipe-test sampling -
             COMPLETED
          Develop training courses for the wipe-test kit


34
            Comparison of surface monitoring and biological monitoring (with INRS)
            Helping South America to build up lab capacities (organized by University of
             Maryland)


     NEW - Project GPA1.9cc Developing tools for the safe handling of hazardous
     drugs. University of Maryland, School of Medicine

            Establish the ability to analyze wipe sample results for hazardous drugs in the
             Americas
            At least one hospital in the region will conduct wipe sampling to assess risks
             associated with the handling of hazardous drugs
            The number of hospitals in the Americas that establish and/or update
             policies and procedures related to identifying and addressing risks associated
             with the handling of hazardous drugs will increase


     Area 5: Comprehensive programmes including Risk Assessment / Risk
     Management tools and information



     Project GPA1.9j Identification and prevention of occupational risks for health care
     workers. NIOH, South Africa.
          Collection of data on TB incidence and HIV infection in HCWs and collated for
             review -ongoing
          Finalize protocol for prospective study on Quantiferon to assess screening
             guidelines -ongoing
          Develop chapter on walk through for risk assessment in health care facilities for
             Malaysian Medical Association text - COMPLETED
          Develop pandemic „flu policy to assist business community; circulate to partners
             for comment-ongoing
          Pilot paper-based surveillance tool - COMPLETED
          Develop electronic tool for occupational health surveillance – ongoing


     Project GPA1.9m Assessment of Environmental and Health Risks in a Mega
     Hospital (Cairo University Hospitals). NIOSH, Egypt.
          Design and standardize the study tools - COMPLETED
          Execute the environmental survey - ongoing
          Execute health survey - ongoing
          Use above to develop “Environment and health risk model” for large hospitals
          Disseminate lessons learned through training workshops


     Project GPA1.9p (Project Completed) Video-Conference Seminar on usage of
     personal protective equipment for health care workers. National University of
     Singapore.
          Develop lectures and record on a CD discussions on selection and use of PPE
             by HCWs dependent on the hazards present


     Project GPA1.9r Latex Allergy and Asthma-Risk management programme for
     healthcare workers. NIOH, South Africa.


35
             Develop a screening questionnaire for latex allergy
             Develop a poster on the step-wise approach to diagnosing latex allergy
             Develop an information sheet on latex allergy in paper copy and electronic
              version
             Disseminate information on a comprehensive latex risk management programs
              through workshops


     Project GPA1.9s Enhanced diagnosis and management of pulmonary
     tuberculosis: flow sheet for healthcare workers. NIOH, South Africa.
          Update an existing flow sheet for diagnosing and managing pulmonary TB
             (especially in respect to anti-retroviral therapy) - COMPLETED
          Present updated tool at International Conference - COMPLETED
          Use as an assessment tool of TB services in South Africa and UK – ongoing


     Project GPA1.9v Assessment of the present working conditions and specific
     features of promoting health, safety, and well-being in health sector in the
     Republic of Bashkortostan. Ufa Research Institute of Occupational Health and
     Human Ecology, Republic of Bashkortostan.
          Obtain better knowledge of working conditions influencing work ability and
             individual risk factors
          Develop a toolkit using this information on prevention of occupational diseases in
             HCWs
          Develop methodological materials for publication

     Project GPA1.9w WHO / Trade Unions Network on Implementing Workers Health
     Initiatives. Great Lakes Centers, USA.
     In order to provide technical assistance to support collaboration between international
     groups:
           Resources of global unions will be enlisted to disseminate products of this
              collaboration to workplaces throughout the world to include elimination of
              asbestos related disease, prevention of chemical risks, HIV/AIDS, ICFTU‟s
              national profiles, prevention of work related stress, and smoke and alcohol-free
              workplaces-ongoing meetings periodically conducted


     Project GPA1.9y Training of trainers on the usage of respiratory protection for
     health care workers in Cambodia who work with suspected avian influenza
     patients. NUS, Cambodia.
          Conduct 4 one-week pilot training of training course on respiratory protection,
             particularly for avian influenza
          Expand training to other facilities in Cambodia- 2 COURSES COMPLETED
          Expand program to other countries in SE Asia and Africa
          Expand to other industries requiring respiratory protection in need of education


     Project GPA1.9bb The evaluation of immunodiagnostic tests for TB infection and
     determinants of such infection in a population of South African health care
     workers. UCT, South Africa.
          Baseline data of the prevalence of LTBI as detected by TST and IGRA-
             COMPLETED
          Completion of follow-up phase to evaluate interval change in LTBI status (500
             healthcare workers screened for LTBI and TB)
          Documentation of associations between occupational and environmental risk

36
                              factors of TB disease
                             Evaluation of the predictive value of LTBI tests for development of active TB


                      NEW - Project GPA1.9ee The comprehensive protection and promotion of health
                      for health care workers in the UAE, emphasizing hepatitis B immunizations. United
                      Arab Emirates University, UAE
                           Extension of the Hepatitis B immunization programme to other hospital
                              healthcare staff in the UAE




Critical Gaps to be          Coherent set of accomplishments in protecting and promoting health of health
filled by 2012 in             care workers internationally
order to fulfil GPA          Modification in WHO needlestick injury prevention toolkit based on experiences
priorities (these            Development of a step-by-step web-based tool where contributing projects can
lead to                       integrate practical tools to replicate their projects
deliverables                 Strategy for projects to develop a global framework for national programmes and
desired by 2012)              occupational health services for health care workers
                             Cross-link with patient safety, as appropriate


Examples of
deliverables
desired by 2012 to           Promotion by ILO and WHO of model national programs
adequately assist            Electronic library of tools and information
countries to                 Practical surveillance system models
protect and                  Plan for expansion of successes to other regions and countries
promote health of            Train-the-Trainer Programs
health care
workers
internationally.

                         High rotation of personnel
                         Acquiring funding for global projects
Barriers to              Sufficient dedicated time on the parts of researchers
success that must        In health setting, patient safety comes first over worker safety and there is a
                          perceived (incorrect) conflict between patient and worker safety instead of
addressed
                          recognition (and evidence) that programmes that improve worker safety also improve
                          patient safety




37
            FACILITATING PROJECTS FOR GPA OBJECTIVE 2


FACILITATING
PROJECT
                             GPA 2.1a: Toolkits for chemical risks
(administrative)

                             Toolkits and other resources to improve assessment and management
Facilitating Project Title
                             of CHEMICAL risks at the workplace.

GPA Objective                Objective 2: to protect and promote health at the workplace.

                             11. …the assessment and management of health risks at the workplace
                             should be improved by: defining essential interventions for prevention and
                             control of mechanical, physical, chemical, biological and psychosocial risks
                             in the working environment. Such measures include also integrated
                             management of chemicals at the workplace, elimination of second-hand
                             tobacco smoke from all indoor workplaces, improved occupational safety,
                             and health-impact assessment of new technologies, work processes and
                             products at the design stage.
GPA Action                   12. …protecting health at the workplace also requires enacting regulations
                             and adopting a basic set of occupational health standards to make certain
                             that all workplaces comply with minimum requirements for health and safety
                             protection, ensuring an appropriate level of enforcement, strengthening
                             workplace health inspection, and building up collaboration between the
                             competent regulatory agencies according to specific national circumstances.



                             15. …work on creating practical tools for assessment and management of
                             occupational risks, recommending minimum requirements for health
                             protection at the workplace, providing guidance on development of healthy
                             workplaces, and on promoting health at the workplace. …

                             2.1a: Develop practical toolkits for the assessment and management of OH
Priority Area
                             risks (focus: chemical risks)

                             Thirteen projects included here relate to management of chemicals, national
                             implementation (including translation, adaptation), the International Chemical
                             Control Toolkit (ICCT) and control banding. Two projects are aimed at the
Purposes of facilitating
                             development of specific monitoring and risk assessment tools; this
project
                             Facilitating Project will be particularly useful in coordinating these closely
                             related activities. Projects are grouped into: (1) Projects to assess and
                             manage chemicals; and (2) Analytic diagnostic tools

GPA Manager                  Stavroula Leka; Aditya Jain


38
CC Initiative Leaders
                          Dave Zalk and Henri Heussen, IOHA
and contact information

WHO responsible
                          Susan Wilburn
person



                          1: Projects to assess and manage chemicals



                          GPA 2.15n Demonstration and evaluation of control banding applications
                          nationally and globally. National Institute for Occupational Safety and Health
                          (NIOSH), USA and IOHA. Project Leaders: T.J. Lentz TBL7@cdc.gov,
                          Catherine Beaucham cbeaucham@cdc.gov, Rick Niemeier RWN1@cdc.gov,
                          Scott Earnest GSE0@cdc.gov, Chris Gjessing CCG0@cdc.gov , IOHA -Dave
                          Zalk zalk1@llnl.gov



                          GPA 2.11c Development of the Chemical Control Toolkit (Korean version of
                          web-based chemical hazard information and control measures) by modifying
                          the HSE control banding and ILO tool kit. Korea Occupational Safety &
                          Health Agency (KOSHA). Project Leaders: Seong-Kyu Kang
                          (skk@kosha.net), Byung-Gyu Kim (apollo@kosha.net)
Collaborating centre
partners with separate
contributing projects
                          GPA 2.11d Implement International Chemical Control Toolkit (ICCT) In
                          Portugal and in Some African Countries not yet identified. Environmental
                          Health Department, National Institute of Health – Porto, Portugal. Project
                          Leader: Joao Paulo Teixeira Joao.teixeira@insa.min-saude.pt



                          GPA 2.11e Application and expansion of Control Banding of chemicals and
                          dust on small and middle-scale enterprises (SMEs) in China. National
                          Institute of Occupational Health and Poison Control, Chinese Centre for
                          Disease Control and Prevention, Beijing. Project Leader: Tao Li
                          niohplt@sina.com



                          GPA 2.13c Risk Management of Chemicals: Chemical Toolkit Pilot-Project
                          Implementation. FUNDACENTRO. Project Leader: Marcela Gerardo Ribeiro,
                          marcela.ribeiro@fundacentro.gov.br



                          GPA 2.15q Demonstration and evaluation of control banding application in
                          small scale enterprises (SSEs) Department of Occupational Health, Fudan

39
     University, Shanghai, China. Project Leader: Zhijun Zhou,
     zjzhou@shmu.edu.cn



     GPA 2.11b Sound Chemicals Management for a Healthier Environment in
     South and Southeast Asia. Department of Environmental Health
     Engineering, Sri Ramachandra Medical College & Research Institute,
     Chennai, India. Project leaders: Mr. Sankar Sambandam
     srmcvels@yahoo.com, Kalpana Balakrishnan kalpanasrmc@vsnl.com.



     GPA 2.15p Bakers allergy and asthma - Risk Management Toolkit.
     Occupational and Environmental Health Research Unit, University of Cape
     Town, South Africa. Project Leader: Mohamed F Jeebhay
     Mohamed.Jeebhay@uct.ac.za



     GPA 2.13a Development of an advanced model for regulatory exposure
     assessment (Advanced REACH Tool - ART). TNO, Zeist, The Netherlands.
     Project Leader: Dr Erik Tielemans, erik.tielemans@tno.nl



     GPA2.11q

     Stoffenmanager 4.5: New and Extended Version. TNO, Gerard Zwetsloot,
     The Netherlands. Project Leaders: Maikel van Niftrik
     (maikel.vanniftrik@tno.nl); Henri Heussen (henri.heussen@arbounie.nl)



     GPA2.11r

     Stoffenmanager Construction Toolkit. IOHA. Project Leaders: Dave Zalk
     zalk1@llnl.gov and Henri Heussen henri.heussen@arbounie.nl



     GPA2.11s

     Stoffenmanager Paint and Printing Ink Manufacturing Industry Toolkit.
     IOHA. Project Leaders: Dave Zalk zalk1@llnl.gov and Henri Heussen
     henri.heussen@arbounie.nl



     GPA2.11t

     Development of Toolkits for Safe Solvent Use in Industry Sectors Involved


40
                            with Carbon Tetrachloride (CTC) Phaseout. Sri Ramachandra University,
                            India. Project leaders: Sankar Sambandam srmcvels@yahoo.com and

                            Kalpana Balakrishnan kalpanasrmc@vsnl.com



                            See Silica Control Banding Toolkit Projects coded into GPA 1.2:

                             GPA 1.10k, GPA1.10l, GPA1.10i, GPA1.10m



                            See Nanotool Toolkit “Stoffenmanager Nano, version 1.0” coded to

                             GPA 4.21at



                            See two training projects for Control Banding in GPA3.2: Development
                            and dissemination of introductory and advanced level training modules in
                            Control Banding and its toolkits; and Capacity Building in Occupational
                            Hygiene utilizing online capabilities



                            2: Analytic diagnostic tools



                            GPA 2.11a New challenges and new methods in bio-monitoring. INRS,
                            France. Project leader : Marie-Thérèse Brondeau (Jean-Marie Mur), marie-
                            therese.brondeau@inrs.fr



                            GPA 2.11f Development of analytical diagnostic tools for occupational
                            isocyanate asthma. Institute for Occupational and Maritime Medicine,
                            Hamburg, Germany. Project leader: Lygia T. Budnik, Email:
                            L.Budnik@uke.uni-hamburg.de



WHO Regional offices
actively involved in this
project (name and email)

                            The assessment and management of health risks at the workplace should be
Summary of the project      improved by defining essential interventions for prevention and control of
(max100 words)              chemical risks in the working environment. Such measures include also
                            integrated management of chemicals at the workplace. Protecting health at
                            the workplace also requires enacting and adopting a basic set of


41
                         occupational health standards.



                         Development of guidance on best practice OHS standards on chemical risks.

                         The development of an evidence base on the impact and management of
                         chemical risks including identification of new risk factors such as due to
                         introduction of new technologies, processes of globalization, as well as
                         changes in the work organization.



                         Development of training materials and programmes on the assessment and
                         management of chemical risks.



                         CCs contribute to defining common criteria of toolkits, develop inventories,
                         framework documents, mapping of use and types of tools, to assess and
                         manage the identified new as well as existing risks. Advanced toolkits will
                         be implemented and evaluated.



                         1: Toolkits to improve management of work-related chemical risks



                         GPA 2.15n

                         Development of a construction sector control banding toolkit to address
                         hazards in the construction industry, a collaborative effort involving
                         government agencies from the US (NIOSH, Lawrence Livermore National
                         Laboratory), the Netherlands (TNO) and the UK (HSE)
Actual and anticipated   Continued provision of training and technical assistance through workshops
deliverables by 2012     and control-focused solutions for hazardous exposures (primarily silica) in
from contributing
                         South America
projects
                         Release and dissemination of a training DVD and hazard guidance sheets
                         with control banding solutions for occupational exposures to glutaraldehyde
                         in healthcare settings

                         Control banding principles and solutions applied to the nanotechnology
                         manufacturing industry

                         Control banding approaches and control-focused solutions and guidance to
                         address exposures to electromagnetic fields.

                         Inclusion of control banding strategies into the National Occupational
                         Research Agenda (NORA) sector goals.


42
     GPA 2.11c

     Web-based chemical hazard information and control measures

     Developing hazard information and control measures on 30 chemicals



     GPA 2.11d

     Implement International Chemical Control Toolkit (ICCT) In Portugal and in
     some African countries not yet identified.



     GPA 2.11e

     Extending training about Control Banding of chemicals



     GPA 2.13c

     Training employers, employees and OSH professionals, concerning the
     reasons to use the ICCT based guidelines and how to use it

     GPA 2.15q

     The experiences on control banding to be demonstrated and spread among
     small scale industrials in China.



     GPA 2.11b

     Note: this project was completed in June 2010. Outcomes include a White
     Book on “Sound Chemical Management for SMEs” prepared and
     disseminated to major local stakeholders including regulators and industry
     associations and a GTZ Chemical Management Guide, which was
     translated in 2 local languages with suitable customization and distributed to
     80 local enterprises.



     GPA 2.15p

     Recommendations for dust control in low income settings.

     Training manual, Prototype lid for bakery mixer




43
     GPA 2.13a

     Fully validated and operational ART for inhalation and dermal exposure.
     Made freely available on the web.

     Beta version for the ingestion exposure model.



     GPA2.11q

     Release of the website based Stoffenmanager 4.5: New and Extended
     Version



     GPA2.11r

     International usage of the Stoffenmanager Construction Toolkit



     GPA2.11s

     International usage of the Stoffenmanager Paint and Printing Ink
     Manufacturing Industry Toolkit



     GPA2.11t

     Training Manual for the Toolkits for Safe Solvent Use in Industry Sectors
     Involved with Carbon Tetrachloride Phaseout



     2: Analytic diagnostic tools



     GPA 2.11a

     Database on bio-monitoring methods and available laboratories



     GPA 2.11f

     Implement the immunological assay for the diagnosis of patient samples.

     Recommendations for the prevention of occupational asthma based on
     biomonitoring screening




44
                             Organizing an electronic repository for toolkits and organizing a network of
Critical gaps to be filled
                             experts to work together. Implementation and evaluation of toolkits and
by 2012
                             sharing of results.

Examples of deliverables
                             Electronic repository for toolkits; network of experts.
desired by 2012

Barriers to success that
must be addressed




FACILITATING
PROJECT
                             GPA 2.1b: Toolkits for physical risks
(administrative)


Facilitating Project Title   Toolkits and other resources to improve assessment and management of
                             PHYSICAL risks at the workplace.
GPA Objective                Objective 2: to protect and promote health at the workplace.

                             11. …the assessment and management of health risks at the workplace
                             should be improved by: defining essential interventions for prevention and
                             control of mechanical, physical, chemical, biological and psychosocial risks in
                             the working environment. Such measures include also integrated management
                             of chemicals at the workplace, elimination of second-hand tobacco smoke from
                             all indoor workplaces, improved occupational safety, and health-impact
                             assessment of new technologies, work processes and products at the design
                             stage.
GPA Action
                             12. …protecting health at the workplace also requires enacting regulations and
                             adopting a basic set of occupational health standards to make certain that all
                             workplaces comply with minimum requirements for health and safety
                             protection, ensuring an appropriate level of enforcement, strengthening
                             workplace health inspection, and building up collaboration between the
                             competent regulatory agencies according to specific national circumstances.

                             15. …work on creating practical tools for assessment and management of
                             occupational risks, recommending minimum requirements for health protection
                             at the workplace, providing guidance on development of healthy workplaces,
                             and on promoting health at the workplace. …

                             2.1b: Develop practical toolkits for the assessment and management of OH
Priority Area
                             risks (focus: physical risks)

Purposes of facilitating     The projects included here relate to the development of tools for the
project                      assessment and management of occupational risks related to physical
                             hazards. This Facilitating Project will be particularly useful in coordinating


45
                          these distinct physical risks. Projects are grouped into: (1) Noise and Vibration;
                          (2) Projects related to Radiation Risks; (3) Projects related to injury hazards;
                          and (4) Projects related to heat stress.

GPA Manager               Stavroula Leka; Aditya Jain

CC Initiative Leaders
                          Dave Zalk and Henri Heussen, IOHA
and contact information

WHO responsible
                          Susan Wilburn
person



                          1: Projects related to Noise and Vibration



                          GPA 2.15e Code of conduct for noise control in the music- and entertainment
                          sector. Federal Institute for Occupational Safety and Health (BAuA), Germany.
                          Project Leader: Georg Brockt, Brockt.georg@baua.bund.de



                          GPA 2.12c Compendium on hearing conservation for professionals in music-
                          and entertainment sector. Federal Institute for Occupational Safety and Health
                          (BAuA), Germany. Project Leader: Georg Brockt, Brockt.georg@baua.bund.de


Collaborating centre
partners with separate    2: Projects related to radiation risks
contributing projects

                          GPA 2.15u Assessing UV exposure: measurements and prediction of
                          individual exposure. Institut universitaire romand de Santé au Travail (IST),
                          Switzerland. Project Leader : Antoine Milon, antoine.milon@hospvd.ch



                          3 : Projects related to injury hazards (none at this time)




                          4: Projects related to heat stress



                          GPA2.11u

                          Development of Toolkits for High Occupational Temperatures and Productivity


46
                            Suppression. Sri Ramachandra University, India. Project leaders: Kalpana
                            Balakrishnan kalpanasrmc@vsnl.com and Ayyappan Ramalingam

WHO Regional offices
actively involved in this
project (name and email)

                            The assessment and management of health risks at the workplace should be
                            improved by defining essential interventions for prevention and control of
                            physical risks in the working environment. Such measures include improved
                            occupational safety, and health-impact assessment of new technologies, work
                            processes and products at the design stage



                            Development of guidance on best practice OHS standards on physical risks.

                            The development of an evidence base on the impact and management of
                            physical risks including identification of new risk factors such as due to
Summary of the project      introduction of new technologies, processes of globalization, as well as
(max100 words)              changes in the work organization.

                            Development of training materials and programmes on the assessment and
                            management of physical risks.



                            CCs contribute to defining common criteria of toolkits, develop inventories,
                            framework documents, mapping of use and types of tools, to assess and
                            manage the identified new as well as existing risks. Advanced toolkits will be
                            implemented and evaluated.



                            1: Projects related to Noise and Vibration



                            GPA 2.15e

Actual and anticipated      Code of conduct for noise control in the music- and entertainment sector
deliverables by 2012
from contributing
projects
                            GPA 2.12c

                            Compendium on hearing conservation for professionals in music- and
                            entertainment sector.



                            2: Projects related to Radiation Risks


47
                             GPA 2.15u

                             A web based user-friendly tool assessing the exposure of any body part
                             according to the posture, the activity, the time spend outdoor



                             3: Projects relating to Injury Hazards (none at this time)




                             4: Projects related to heat stress



                             GPA2.11u

                             Completion of pilot study using a Toolkit for High Occupational Temperatures
                             and Productivity Suppression



                             Projects that relate to the development of tools for the management of
Critical gaps to be filled
                             occupational physical risks, in addition to those already included projects
by 2012
                             related to injury risks are sought.

Examples of deliverables
                             An injury toolkit.
desired by 2012

Barriers to success that
must be addressed



FACILITATING
PROJECT                      GPA 2.1c : (NOTE: All projects in GPA 1.4; 1.9l, 1.9n,
                             1.9q, 1.9x, 1.9z)
(administrative)


Facilitating Project Title   Toolkits and other resources to improve assessment and management of
                             BIOLOGICAL risks at the workplace.
GPA Objective                Objective 2: to protect and promote health at the workplace.

GPA Action                   11. …the assessment and management of health risks at the workplace
                             should be improved by: defining essential interventions for prevention and
                             control of mechanical, physical, chemical, biological and psychosocial risks in
                             the working environment. Such measures include also integrated management


48
                            of chemicals at the workplace, elimination of second-hand tobacco smoke from
                            all indoor workplaces, improved occupational safety, and health-impact
                            assessment of new technologies, work processes and products at the design
                            stage.

                            12. …protecting health at the workplace also requires enacting regulations and
                            adopting a basic set of occupational health standards to make certain that all
                            workplaces comply with minimum requirements for health and safety
                            protection, ensuring an appropriate level of enforcement, strengthening
                            workplace health inspection, and building up collaboration between the
                            competent regulatory agencies according to specific national circumstances.



                            15. …work on creating practical tools for assessment and management of
                            occupational risks, recommending minimum requirements for health protection
                            at the workplace, providing guidance on development of healthy workplaces,
                            and on promoting health at the workplace. …

                            2.1c: Develop practical toolkits for the assessment and management of OH
Priority Area
                            risks (focus: biologic risks)

                            This facilitating project points to the location of toolkits addressing biologic
Purposes of facilitating
                            risks at work in GPA Priority 1.4 (risks for healthcare workers). No additional
project
                            toolkits are coded here that address biological risks.

GPA Manager                 Stavroula Leka; Aditya Jain

CC Initiative Leaders
                            Dave Zalk and Henri Heussen, IOHA
and contact information

WHO responsible
                            Susan Wilburn
person



                            Projects related Biologic Risks
Collaborating centre
partners with separate
contributing projects       See Projects 1.9l, 1.9n, 1.9q, 1.9x and 1.9z coded into GPA 1.4: Risks of
                            Healthcare workers




WHO Regional offices
actively involved in this
project (name and email)

Summary of the project      The assessment and management of health risks at the workplace should be


49
(max100 words)               improved by defining essential interventions for prevention and control of
                             biological risks in the working environment. Such measures include improved
                             occupational safety, and health-impact assessment of new technologies, work
                             processes and products at the design stage



                             Development of guidance on best practice OHS standards on biological risks.

                             The development of an evidence base on the impact and management of
                             biological risks including identification of new risk factors such as due to
                             introduction of new technologies, processes of globalization, as well as
                             changes in the work organization.



Actual and anticipated
deliverables by 2012         See Projects 1.9l, 1.9n, 1.9q, 1.9x and 1.9z coded into GPA 1.4: Risks of
from contributing            Healthcare workers
projects



                             More projects that relate to the development of tools for the management of
Critical gaps to be filled
                             occupational risks related to biological hazards, in addition to those already
by 2012
                             included.

                             See Projects 1.9l, 1.9n, 1.9q, 1.9x and 1.9z coded into GPA 1.4: Risks of
Examples of deliverables     Healthcare workers
desired by 2012


Barriers to success that
must be addressed



FACILITATING
PROJECT
                             GPA 2.1d
(administrative)



                             Toolkits and other resources to improve assessment and management of
Facilitating Project Title
                             psychosocial risks at the workplace.



GPA Objective                Objective 2: to protect and promote health at the workplace.

GPA Action                   11. …the assessment and management of health risks at the workplace should

50
                           be improved by: defining essential interventions for prevention and control of
                           mechanical, physical, chemical, biological and psychosocial risks in the working
                           environment. Such measures include also integrated management of chemicals
                           at the workplace, elimination of second-hand tobacco smoke from all indoor
                           workplaces, improved occupational safety, and health-impact assessment of
                           new technologies, work processes and products at the design stage.

                           12. …protecting health at the workplace also requires enacting regulations and
                           adopting a basic set of occupational health standards to make certain that all
                           workplaces comply with minimum requirements for health and safety protection,
                           ensuring an appropriate level of enforcement, strengthening workplace health
                           inspection, and building up collaboration between the competent regulatory
                           agencies according to specific national circumstances.



                           15. …work on creating practical tools for assessment and management of
                           occupational risks, recommending minimum requirements for health protection at
                           the workplace, providing guidance on development of healthy workplaces, and
                           on promoting health at the workplace. …

                           2.1a: Develop practical toolkits for the assessment and management of OH risks
Priority Area
                           (focus: psychosocial risks)

                           All the seven projects included here relate to the development of practical tools
Purposes of facilitating
                           for assessment and management of psychosocial risks; this Facilitating Project
project
                           will be particularly useful in coordinating these closely related activities.

GPA Manager                Stavroula Leka; Aditya Jain



                           Stavroula Leka Stavroula.Leka@nottingham.ac.uk
CC Initiative Leaders
                           Aditya Jain Aditya.Jain@nottingham.ac.uk
and contact information



WHO responsible
                           Evelyn Kortum
person



Collaborating centre       GPA 2.15t Psychosocial Risk Management Toolkit. Institute of Work, Health &
partners with separate     Organisations, University of Nottingham, UK. Project leader: Stavroula Leka
contributing projects      Stavroula.Leka@nottingham.ac.uk



                           GPA 2.15z Collaboration in the development of practical psychosocial risk
                           management toolkit. Occupational Health Centre of the Municipal Institute of


51
     Health of Barcelona, Spain. Project Leader: Lucía Artazcoz, lartazco@aspb.es



     GPA 2.11l Adaptation, validation and training in the use of a diagnostic tool to
     detect prevalence of psychosocial risk factors in the workplace. CINBIOSE,
     Canada. Project Leader: Katherine Lippel klippel@uottawa.ca



     GPA 2.13h Study of psychosocial risks in Malaysian context. University of South
     Australia Australia. Project Leader: Mr. Mohd Awang Idris
     Idrma001@postgrad.unisa.edu.au



     GPA 2.11p Psychosocial stress in the workplace with regard to burnout and
     gender. Institute of Occupational and Maritime Medicine, Hamburg, Germany.
     Project Leader: Ralf Wegner ralf.wegner@bsg.hamburg.de



     GPA 2.15aa NEW Practical toolkits for assessment of work stress. Occupational
     Safety and Health Council, Hong Kong. Project leader: Jason Wong
     Jason@oshc.org.hk



     GPA 2.15ab NEW Prevention of workplace violence via Do-It-Yourself (DIY) Kit,
     Training, and On-line risk assessment of workplace violence (English &
     Chinese). Occupational Safety and Health Council, Hong Kong. Project leader:
     Jason Wong Jason@oshc.org.hk



     GPA 2.14b Threat to life and physical integrity at the workplace: consequences
     on mental health and prevention. Clinica del Lavoro “Luigi Devoto”, Milan, Italy.
     Project Leader: Giuseppe Paolo Fichera, giuseppepaolo.fichera@unimi.it



     GPA2.15j Guidelines for bullying at work - Specific toolkits for the prevention of
     workplace bullying. Clinica del Lavoro “Luigi Devoto”, Milan, Italy. Project
     Leader: Silvia Punzi, silvia.punzi@unimi.it



     GPA 2.11x Psychosocial risk of health professionals: Identify psychosocial risk
     of health professionals in order to generate illness prevention and health
     occupational programs. Institute of Research in Occupational Health. University
     of Guadalajara, Mexico. Project Leader: Manuel Pando Moreno



52
                            manolop777@yahoo.com.mx



WHO Regional offices
actively involved in this
project (name and email)

                            The assessment and management of health risks at the workplace should be
                            improved by defining essential interventions for prevention and control of
                            psychosocial risks in the working environment. Such measures include improved
                            occupational safety, and health-impact assessment of new technologies, work
                            processes and products at the design stage. Protecting health at the workplace
                            also requires enacting and adopting a basic set of occupational health
                            standards.



                            Development of guidance on best practice OHS standards on psychosocial risks.

                            Development of training materials and programmes on the assessment and
Summary of the project      management of psychosocial risk.
(max100 words)
                            The development of an evidence base on the impact and management of
                            psychosocial risks including identification of new risk factors such as due to
                            introduction of new technologies, processes of globalization, as well as changes
                            in the work organization.



                            CCs define common criteria of toolkits, develop inventories, framework
                            documents, mapping of use and types of tools, to assess and manage the
                            identified new as well as existing risks. Advanced toolkits will be implemented
                            and evaluated.



                            GPA 2.15t

                            To develop a psychosocial risk management toolkit that will be readily usable
                            and user-friendly
Actual and anticipated
deliverables by 2012
                            Develop international standards (Publicly Available Specification – PAS) on
from contributing
                            stress at work in order to promote harmonisation in the area of psychosocial risk
projects
                            management

                            Develop training packages for the toolkit deliverable through e-learning and face-
                            to-face

                            Integrate the toolkit in the provision of basic occupational health services




53
     GPA 2.15z

     Translation into Spanish of 10 guidance sheets and the PRIMA-EF guide

     Spanish toolkit for psychosocial risk management at the enterprise level



     GPA 2.11l

     Translation and adaptation of instruments to evaluate psychosocial risk factors in
     the workplace

     Training workshops for OH inspectors



     GPA 2.13h

     To develop a tool for the assessment of psychosocial risk in an emerging
     economy context

     To develop materials to create work-life balance awareness training for
     managers and supporting staff



     GPA 2.11p

     Development of a WHO questionnaire to evaluate the psychosocial stress and
     strain including burnout phenomena by occupational and familial factors

     Worldwide survey in 2011



     GPA 2.14b

     Training programmes for workers in order to prevent workplace violence

     To assess the efficacy of early psychological support program, and to extend the
     intervention among different workers victims of different workplace trauma



     GPA2.15j

     Training packages for prevention and intervention for health professionals,
     employers, employees




54
                               GPA 2.11x

                               Toolkit for Health Risk Psychosocial prevention.

                               Occupational health programs to generate illness prevention among health
                               professionals



                               • Rapid survey tool for developing countries

                               • Raise awareness

Critical gaps to be filled     • Sector based tools and guidelines
by 2012                        • Information sharing for the development of the regional/country specific tools

                               • Better information on validity of existing tools

                               • Develop a universally accepted glossary of terms




                               • Sector based tools and guidelines
Examples of deliverables
                               • Psychosocial risks addressed in Healthy Workplaces and i-BOHS
desired by 2012
                               • Development of Psychosocial Risk Management Network (PRIMA-Network)




FACILITING
PROJECT                      GPA 2.2: Healthy Workplace programmes to develop
(administrative)
                             country frameworks and guidance Facilitating Project
Work plan project            (with projects organized by areas of work).
number

Facilitating Project title

                             Development of a country frameworks and guidance on healthy workplaces.



GPA Objective
                             Objective 2: to protect and promote health at the workplace.




55
                          2.13 :”Capacities should be built for primary prevention of occupational hazards,
                          diseases and injuries, including strengthening of human, methodological and
                          technological resources, training of workers and employers, introduction of healthy
                          work practices and work organization, and of a health-promoting culture at the
GPA Action
                          workplace. Mechanisms need to be established to stimulate the development of
                          healthy workplaces, including consultation with, and participation of, workers and
                          employers.”

                          2.15: “WHO will work on creating practical tools for … providing guidance on
                          development of healthy workplaces, and on promoting health at the workplace”.

Priority Area             Priority Area 2.2: Healthy Workplace programmes to develop country frameworks
                          and guidance


                          This Facilitating Project aims to coordinate global efforts to develop and pilot a
                          healthy workplace model for voluntary countries, including a country framework and
                          guidance based on the global framework. Current projects that relate to aspects of
                          comprehensive healthy workplace programmes have been grouped into five areas:

                          Area 1: Projects that relate to piloting, implementation, and/or evaluation of
                          programmes dealing primarily with occupational health and safety hazards in the
                          physical work environment, as a component of a comprehensive healthy workplace
                          programme.



                          Area 2: Projects that relate to piloting, implementation, and/or evaluation of
Purpose of facilitating
                          programmes dealing primarily with organization of work and organizational culture
project
                          issues in the psychosocial work environment, as a component of a comprehensive
                          healthy workplace programme.



                          Area 3: Projects that relate to piloting, implementation, and/or evaluation of
                          programmes dealing primarily with health promotion in the workplace, as a
                          component of a comprehensive healthy workplace programme.

                          Area 4: Projects that relate to piloting, implementation, and/or evaluation of
                          programmes dealing primarily with private sector involvement in community health
                          and safety issues as a component of a healthy workplace.



                          Area 5: Projects that relate to piloting, implementation, and/or evaluation of a
                          comprehensive approach to a healthy workplace (e.g., OHS management systems)
                          that includes all the above components, and which is implemented using a
                          continual improvement and evaluation management system.




56
                         Stavroula Leka (stavroula.leka@nottingham.ac.uk); Aditya Jain
                         (Aditya.Jain@nottingham.ac.uk)
GPA Manager



CC Initiative Leader
and contact              Abeytunga, CCOHS, Canada: abey@ccohs.ca
information
                         Fernando Coelho, SESI, Brazil: fcoelho@sesi.org.br




WHO responsible          Evelyn Kortum: kortume@who.int
person and contact
information              Marie-Claude Lavoie: lavoiema@paho.org



                         Area 1



                         2.11j Development of an OSH Performance Rating System. Occupational Safety
                         and Health Division, Ministry of Manpower, Singapore. Project Leader Dr. Ho
                         Sweet Far Ho_Sweet_Far@mom.gov.sg



Collaborating centre     2.11o National model enterprises for occupational disease prevention and control.
partners with separate   National Institute of Occupational Health and Poison Control, Chinese Centre for
contributing             Disease Control and Prevention, Beijing. Project Leader: Tao Li niohplt@sina.com
PROJECTS (List CC,
project title, project
number, project
                         2.13l Occupational safety and health services in small scale industries in Japan.
leader, and email)
                         National Institute of Occupational Safety and Health, Japan. Project Leader:
                         Shigeki KODA koda@h.jniosh.go.jp



                         2.14f Promoting and Protecting Mental Health - Supporting Policy through
                         Integration of Research, Current Approaches and Practices. Federal Institute for
                         Occupational Safety and Health (BAuA), Germany. Project Leader: Katrin Zardo
                         Zardo.katrin@baua.bund.de, Dr. Karl Kuhn Kuhn.karl@baua.bund.de



                         Area 2



                         2.15l Flexible working hours as a tool for increasing workers‟ health and well-being.

57
     Clinica del Lavoro “Luigi Devoto”, Milan, Italy. Project Leader: Prof. Giovanni Costa
     giovanni.costa@unimi.it



     2.13j SWING: Stress prevention project. Institute of Management, School of
     Buisness, Switzerland. Project Leader: Dr. Voelker Schulte
     volker.schulte@fhnw.ch



     Area 3



     2.15d Increasing physical activity: designing and testing a workplace intervention.
     Health and Safety Laboratory, UK, in collaboration with Leeds University. Project
     Leader: Jennifer Lunt Jennifer.lunt@hsl.gov.uk



     2.13i Inventory of national guidance documents on job stress management and
     health promotion. Korea Occupational Safety & Health Agency (KOSHA). Project
     Leaders: Jungsun Park jsunpark@chol.com and Jung-Keun Park jkpark@kosha.net



     2.14c Workplace health promotion demonstraton program in different types of
     enterprises in Shanghai. Fudan University School of Public Health, Shanghai,
     China. Project Leader: Feng Li fli@shmu.edu.cn



     Area 4



     2.13p

     Corporate Social Responsibility and Occupational Safety and Health: a potent
     contrivance to achieve the Millennium Development Goals. Institute of Work, Health
     & Organisations, University of Nottingham. Project Leader: Aditya Jain
     Aditya.Jain@nottingham.ac.uk



     Area 5



     2.13n Global framework and global guidance on healthy workplaces.

     WHO Global Occupational Health Programme. Project Leader: Evelyn Kortum,


58
     kortume@who.int



     2.15a Occupational safety and health system management: the challenge of global
     diversity. Centre for Research and Teaching in Occupational Ergonomics, Health &
     Safety, La Trobe University, Australia. Project Leader: Dr. Wendy Macdonald
     w.macdonald@latrobe.edu.au



     2.11i Effectiveness evaluation system in occupational health management (EES).
     European Institute of Health and Social Welfare, Madrid. Project Leader: Dr.
     Manuel Peña direccion@institutoeuropeo.es



     2.13d Pilot project on WHP for SME with a focus on small enterprises. Institute of
     Management IFU, School of Business, Switzerland. Dr. Volker Schulte
     volker.schulte@fhnw.ch



     2.13e Enhancement of Occupational Health and Safety in Mexican
     Industry. Industrial Accident Prevention Association, (IAPA), Canada. Project
     Leader: Leonard Sassano, lsassano@iapa.ca



     2.13f Enhancement of Occupational Health and Safety in Brazilian Industry.
     Industrial Accident Prevention Association, (IAPA), Canada. Project Leader:
     Leonard Sassano, lsassano@iapa.ca



     2.13g Guidelines for shiftwork. IfADo – Leibniz Research Centre for Working
     Environment and Human Factors at TU Dortmund University. Project Leader: Prof.
     Barbara Griefahn griefahn@ifado.de



     2.12b Health promotion programs for selected groups in Central America. Central
     American Institute for Studies on Toxic Substances (IRET), Costa Rica. Project
     Leader: Dr. Catharina Wesseling ineke_wesseling@yahoo.com



     2.13k Aged persons and their occupational skills: development of methods for the
     prevention of impairments. IfADo - Leibniz Research Centre for Working
     Environment and Human Factors at TU Dortmund University. Project Leader: Prof.
     Barbara Griefahn griefahn@ifado.de



59
                            2.13m Implementation of a comprehensive health, safety and well-being workplace
                            program within PAHO. University of Maryland, School of Medicine, Occupational
                            Health Program. Project Leader: Melissa McDiarmid
                            mmcdiam@medicine.umaryland.edu and Joanna Gaitens
                            jgaitens@medicine.umaryland.edu



                            2.13o SESI – Healthy Industry Program. SESI – Industrial Social Service National
                            Department, Brasilia. Fernando Coelho Neto fcoelho@sesi.org.br



WHO Regional offices
actively involved in this
project (name and
email)

Other partners for this
Facilitating Project
(employers, trade
unions, other)

                            The implementation of the Global Plan of Action requires interventions at
                            international, national and workplace levels. Countries will have their national
                            frameworks of healthy workplaces in accordance with their governance systems
                            and OHS legislation. Workplace interventions should be planned and delivered in
                            an integrated way bringing together health protection and health promotion

                            Add to an inventory of case studies of good practice in the development of healthy
                            workplaces

                            Add to the inventory of tools for creating healthy workplaces including the physical
                            and psychosocial working environment, health promotion and enterprise
Summary of the              interventions in the community.
facilitating project
(max 100 words)             Identify which models and programmes exist and how they are implemented.

                            Identify indicators for the evaluation of the programmes and evaluation based on
                            the defined indicators.

                            Develop regional and country guidance for implementing health workplaces based
                            on the global guidance (prepared through WHO project).

                            Development of training programs to assist enterprises with implementation of the
                            healthy workplace framework.



Anticipated                 Additions to the inventory of good practice and experiences in the development of

60
deliverables by 2012        healthy workplaces
from contributing
projects                    Inventory of healthy workplace implementation and evaluation tools that are readily
                            accessible to enterprises

                            Country draft Guidance booklets for developing healthy workplaces (countries to be
                            identified at the CC meeting)

                            Pilot in at least three countries

                            Training packages to assist enterprises in implementing the healthy workplace
                            framework



                            Except for the last two project mentioned above (2.13m, 2.13o) none of the projects
                            fully conform to the healthy workplace framework being developed by WHO
                            (2.13n). The framework was presented at the CC meeting in the healthy
                            workplaces working group and it is hoped that more comprehensive projects will
                            emerge to develop country guidance in the next workplan.

                            Pilot sites are needed to implement and evaluate the framework.

                            An evaluation method must be developed to evaluate the pilot projects

                            CCs must agree to take on the projects of writing the national guidance documents
                            for healthy workplace programmes

                            CC must agree to take on the development and piloting of the training packages in
Critical Gaps to be         their respective countries (target: 3).
filled in order to fulfil
deliverables                There are currently no projects that deal with implementing or evaluating the
                            “communities” Avenue of Influence (Area 4 above). However, this is not critical;
                            what is really needed are comprehensive projects that include this Avenue, rather
                            than solely focussing on this one Avenue.

                            As CCs become more familiar with the WHO model and framework, it would be
                            appropriate to drop the “one focus” projects such as those described above in
                            Areas 1, 2, 3, and 4, and only include those that fit into Area 5, unless CCs can
                            partner on incomplete projects and combine approaches satisfactorily.

                            Projects are needed that implement and/or evaluate the country frameworks in
                            various sizes of enterprise, various sectors, and various countries (both developed
                            and developing).



                            Lack of understanding by the CCs about the comprehensive nature of a healthy
Barriers to success
                            workplace as defined by the WHO framework.
that must addressed
                            Lack of appreciation by the CCs for the importance of the continual improvement



 61
        process used in the model

        Possible lack of willingness on the part of the CCs and enterprises to take on
        something as broad as the framework may appear to be, rather than just dealing
        with one small factor at a time (e.g., physical activity, flexible work).




     FACILITATING PROJECTS FOR OBJECTIVE 3

62
FACILITATING
PROJECT
(administrative)
                             GPA 3.1: Organization and delivery of occupational
Work plan project            health services in primary health Facilitating Project
number

Facilitating Project title

                             Organization and delivery of occupational health services in primary health



GPA Objective
                             Objective 3: to improve the performance of and access to occupational health
                             services

                             Improve coverage and quality of occupational health services including:

                             linkage to national health strategies and health sector reforms

                             standards for organization and coverage
GPA Action 16
                             mechanisms for pooling resources and financing of the delivery

                             sufficient and competent human resources

                             quality assurance systems

                             Provide access for all workers to basic occupational health services

                             Priority 3.1: Develop working methods, provide technical assistance to countries
Priority Area
                             for organization, delivery and evaluation of basic OH services in the context of
                             primary health care, with particular focus on underserved populations and
                             settings with constrained resources

                             This Facilitating Project aims to coordinate international efforts on setting up and
                             improving occupational health services. It is closely connected to the GPA 3.2
                             activities aiming at building institutional and professional capacity.


Purpose of facilitating
project                      Current projects with this aim are divided into four areas:



                             Area 1: Linkage to national health strategies and health sector reforms

                             Area 2: Standards for organization and coverage

                             Area 3: BOHS pilots

                             Area 4: Quality assurance

63
                          This division is based on the main focus of the project. Many of the projects have
                          aspects belonging to more than one areas and most of them have also a strong
                          training component.

GPA Manager               Kaj Husman, Leslie Nickels


CC Initiative Leader
and contact               Kaj Husman; kaj.husman@ttl.fi
information




WHO responsible
                          Ivan Ivanov; ivan.ivanov@who.int
person



                          Projects are organized by area:



                          Area 1: Linkage to national health strategies and health sector reforms



                          3.17d; Occupational Health Latin-American Forum; Project leader: Manuel Peña,
                          direccion@institutoeuropeo.es, European Institute of Health and Social Welfare,
Collaborating centre
                          Spain
partners with separate
contributing
PROJECTS (List CC,
project title, project    3.17f; Policy advice, training of trainers, support pilot projects and provide
number, project leader,   practical guidelines for BOHS; Project leader: Project leader Jorma Rantanen,
and email)                jorma.rantanen@ttl.fi, ICOH



                          3.19u; Occupational health and primary health care; Project leader: Ivan D.
                          Ivanov, ivanovi@who.int, WHO Global Occupational Health Programme



                          3.19f; Blind spot in health care for work-relatedness Revitalizing Ramazzini‟s
                          legacy; Project leader: Peter Buijs, peter.buijs@tno.nl, TNO Quality of Life /
                          Work & Employment, The Netherlands



                          Area 2: Standards for organization and coverage



64
     3.16i; East Asian Network for Development of Occupational Health Research
     and Services Model; Project leader Toshiaki Higashi, thigashi@med.uoeh-
     u.ac.jp, Institute of Industrial Ecological Sciences (IIES), UOEH, Japan




     Area 3: BOHS pilots



     3.16j; SHERQ programme for the Public Health Service in South Africa; Project
     leaders: Spo Kgalamono, David Rees and Barry Kistnasamy,
     spo.kgalamono@nioh.nhls.ac.za

     , david.rees@nioh.nhls.ac.za, barry.kistnasamy@nioh.nhls.ac.za, National
     Institute for Occupational Health (NIOH), SA



     3.16p; SHERQ programme for the National Health Laboratory Service (NHLS) in
     South Africa; Project leaders: Spo Kgalamono, David Rees and Barry
     Kistnasamy, spo.kgalamono@nioh.nhls.ac.za, david.rees@nioh.nhls.ac.za,
     barry.kistnasamy@nioh.nhls.ac.za, National Institute for Occupational Health
     (NIOH), SA



     3.16k; Development an expansion of a pilot project for occupational health
     services in China; Project leader: Li Tao, niohplt@sina.com, National Institute of
     Occupational Health and Poison Control, Chinese Centre for Disease Control
     and Prevention, China



     3.16l; Development of innovative models for organization and provision of
     occupational health services in South East Europe; Project leader: Jovanka
     Karadzinska Bislimovska, occhemed@on.net.mk, bislimovska_j@yahoo.com,
     Institute of Occupational Health, FYR of Macedonia

     3.16r; Integration of occupational health services into primary health care system
     in Turkey; Project leader: Dr. Buhara Önal bonal@csgb.gov.tr – MoLSS and Dr.
     Tahir Soydal mtsoydal@gmail.com – MoH

     3.18o; Development and integration of Basic Occupational Health Services into
     Primary Health Care in Southern India; Project leaders: Jayachandran
     Paulsamy; dr_pjaya@yahoo.com and Kalpana Balakrishnan,
     kalpanasrmc@vsnl.com, Department of Environmental Health Engineering, Sri



65
     Ramachandra University, Chennai, India



     3.18q; The Development of Basic Occupational Health Service (BOHS) model
     for

     underserved working population in Thai Primary Care Units; Project leader:
     Somkiat Siriruttanpreuk, somkiatk@health.moph.go.th, Bureau of Occupational
     and Environmental Diseases, Thailand



     3.18t; Organization and delivery of BOHS for underserved populations in
     Vietnam; Project leader: Nguyen Duy Bao, baovsld@yahoo.com, National
     Institute of Occupational & Environmental Health (NIOEH), Vietnam



     3.16q; Workers health project; Project leader: Tran Thi Ngoc Lan,
     ttnlan@gmail.com, General Department of Preventive Medicine and
     Environmental Health (GDPMEH)- Ministry of Health of Vietnam



     3.16n; Development and Implementation of a Basic Occupational Health Service
     Intervention Program in Indonesia; Project leader: Norbert Wagner,
     nlwagner@uic.edu, Great Lakes Centres for Occupational & EnvironmentalGreat
     Lakes Centres for Occupational & Environmental Safety and Health, School of
     Public Health, University of Illinois at Chicago (UIC), School of Public Health,
     U.S.A




     Area 4: Quality assurance



     3.16a; Good practice in occupational health services; Project leader: Arve Lie,
     arve.lie@stami.no, The National Institute of Occupational Health, Dept of
     Medicine and Epidemiology; Norway



     3.18p; Occupational Health and Safety Quality Assurance for Primary

     Health Care Unit; Project leader: Somkiat Siriruttanpreuk,
     somkiatk@health.moph.go.th,

     Bureau of Occupational and Environmental Diseases, Thailand



66
                         PAHO: Maritza Tennasee; tennassm@paho.org

                         EURO: Rokho Kim; rki@ecehbonn.euro.who.int

                         SEARO: Salma Burton; burtons@searo.who.int
WHO Regional offices     WPRO: Hisashi Ogawa; ogawah@wpro.who.int
actively involved in
this project (name and   AFRO: Thebe Pule; pulet@afro.who.int
email) and other
international            ILO: Igor Fedotov; igor.fedotov@ilo.org
organisations
                         ICOH: Jorma Rantanen; jorma.h.rantanen@gmail.com

                         ICFTU: Lucien Royer; royer@tuac.org ?

                         WHO/Trade Unions Network on Implementing Workers Health Initiatives; Peter
                         Orris; porris@uic.edu

                         By networking and pooling resources this project aims at comprehensive
                         protection and promotion of health for workers, emphasizing vulnerable groups.
                         This is done by evaluating and improving national OH delivery systems, building
Summary of the           capacities of OH services, providing technical support, and producing and
facilitating project     disseminating useful accessible information and products. Projects include
(max 100 words)          national profiles, pilots on BOHS, best practices, tools and guidance that can be
                         used in training, and information dissemination.



                         Targeted OH programmes and standards for the coverage of OH services



                         Area 1: Linkage to national health strategies and health sector reforms
Anticipated
deliverables by 2012
from contributing
projects                 3.17f: 1) Production of BOHS Guidelines and a Manual. 2) Introduction of a
                         BOHS field measurement kit for priority exposures. 3) 10 Countries have
                         introduced BOHS, training of trainers has been organized, Pilot projects
                         implemented and evaluated, readiness for moving to next step (up-scaling) is
                         there. 4) 31.12 2009 National surveys completed in 10 countries. 5) 31.12.2010
                         Training of trainers courses implemented in 10 countries

                         31.12.2011. 6) Pilot projects implemented in 10 countries. 7) 31.12.2012
                         Countries decided on next steps in BOHS implementation. 8) 31.12.2012 The
                         role of BOHS in Primary Health care system has been clarified and well

67
     established. 9) 31.12.2012 Countries have included BOHS into their national
     health strategies.



     3.19u: 1) Global report "Occupational Health in Primary Health Care". 2)

     National programmes for development of occupational health services
     established with WHO technical assistance in ten countries.



     3.19f: Blind spot in health care for work-relatedness -booklet ready and
     distributed as agreed.



     Area 2: Standards for organization and coverage



     3.16i: 1) Publications of guideline: End of 2011. 2) Membership scheme of
     involved institutions: 2012. 3) The effective and evidence based occupational
     health service Model in East Asian countries which has similar situation in
     cultural background and rapid aging society. 4) The data base, guide which are
     available for evidence based occupational health services and prevent
     international threat for human health. 5) MSDs, Health Promotion and
     Improvement of Work environment will be edited up to 2012 on the basis of
     Japan /China/ Korea joint conference network.




     Area 3: BOHS pilots



     3.16j: 1) Referral system and OHS in place for public health care sector. 2)
     Surveillance system in place in the public health care sector. 3) 300 trained
     SHERQ personnel.



     New project3.16p: 1) Referral system and OHS in place for NHLS in 75% of
     laboratories and all national institutes. 2) Surveillance system using SLIDE or
     similar tool across NHLS. 3)

     100 trained SHERQ personnel within the NHLS.



     3.16k: 1) Continuing Training of Trainers (ToT) Courses. 2) Extension of new


68
     Pilot Projects to additional Provinces and Counties. 3) Providing direct-reading
     field measurement BOHS kits for most hazardous exposures.



     3.16l: 1) Recommendations on national policy and capacity building in new
     models of OHS, through BOHS approach focused on vulnerable workers,
     underserved population and high risk sectors. 2) Development of the health
     surveillance and information system following EU regulations. 3) Participation in
     the i-BOHS community network and sharing online learning and educational
     materials on evidence-based knowledge for OHS. 4) Establishment of the
     training center for OH and PHC doctors on BOHS

     (training of trainers, i- library) through SEE Network on Workers Health

     3.16r: Implementation and evaluation of pilot projects conducted collaboratively
     by Ministry of Health and Ministry of Labor; establishment of Community Health
     Centers specialized in occupational health services; improving the model of
     community health centers and expanding the model within the country.

     3.18o: 1) Based on continued interactions with the State Public Health
     Departments, we anticipate being able to train personnel in at least 5 districts. 2)
     Once recommendations of the current pilot are accepted, we anticipate the WHO
     India office to facilitate policy level follow-ups including the requirements to
     create BOHS centers in all district level hospitals. 3) Inputs from hazard
     identification at health care facilities are expected to be translated into
     implementation of controls through interactions with relevant departments that
     are expected to be facilitated by the WHO country office. 4) Training of PHC
     physicians to be BOHS providers for local industry will likely be achieved in
     districts with large industry clusters. 5) Creation of a occupational disease
     surveillance mechanism through integration with on-going integrated disease
     surveillance efforts will likely be in place.



     3.18q: 1) 2010: Best practices in the primary care units and delivery of BOHS for
     workers in informal economy and underserved populations such as children
     workers, women workers, migrant workers. 2) 2012: Best practices in the
     primary care units and delivery of BOHS for target working populations



     3.18t: 1) BOSH delivering models at district level for underserved populations will
     be developed and implemented. 2) Trainings on BOSH organisation and delivery
     will be conducted for OSH practitioners. 3) Training materials will be developed
     and disseminated



     New project3.18t; 1) Report on real situation implementation of basic
     occupational health services in Vietnam. 2) Report on ratification of ILO


69
                           Convention 161 on occupational health services in Vietnam. 3) Developing
                           standard materials on basic occupational health services for provincial level. 4)
                           Assess implementation on basic occupational health services in four provinces:
                           Thanh Hoa, Bac Ninh, Thua Thien Hue, Dong Nai. 5) Share experiences on
                           project implementation results in international conferences.



                           New project3.16n; 1) Evaluation of past BOSH initiatives in Indonesia finished by
                           end 2010. 2) Qualitative and quantitative analysis of current problems and
                           success factors with key stakeholder finished by spring 2011. 3) Training
                           modules for village health workers and other public health officials finished by
                           summer 2011. 4) Training of primary health care

                           workers and other PHC levels started by fall 2011.



                           Area 4: Quality assurance



                           3.16a: 1) 10 new models of good practice cases per year. 2) Continued training
                           of OHS. 3) Assessment of impact on OHS. 4) New Good OHS 2012 to fit the
                           new certification of OHS in Norway. 5) Revision and production of professional
                           OHS guidelines



                           3.18p: Standard guideline for occupational health service activities in primary
                           care units.




                           Strategy to develop a global framework for national programmes on occupational
Critical Gaps to be
filled by 2012 in order       health services
to fulfil GPA priorities
                           Adequate policy and technical consultations
(these lead to
deliverables desired by    Development of a step-by-step web-based tools to integrate BOHS in PHC
2012)
                           Cross-links with PHC and labour safety



Examples of                National, regional and sectoral OSH profiles and programmes for establishing
deliverables desired by    and strengthening occupational health services
2012 to adequately
assist countries to        Practical BOHS delivery models ongoing
protect and promote


70
health of workers            Programs of grass-root level training of occupational health and safety
internationally.
                             Programs of post-graduate training

                             Train-the-Trainer Programs

                             Electronic library of tools and information

                             Political commitment

Barriers to success          Funding for global projects
that must addressed
                             Time allocation of experts




FACILITATING PROJECT
(administrative)                           GPA 3.2a: Capacity building Facilitating
Work plan project number                   Project

Facilitating Project title
                                           Education and Training Facilitating Project: Capacity building
                                           through training and education




                                           Objective 3: to improve the performance of and access to
GPA Objective
                                           occupational health services




GPA Action




                                           Priority 3.2: Adapt and disseminate curricula, training materials
Priority Area
                                           and training for international capacity building in OH


71
Purpose The purpose
of          of this
facilitatingfacilitating
project     project is to
            create a
            network of
            educators
            and an
            electronic
            library of
            OHS
            education
            and training
            materials
            and practice
            tools to
            support
            buildingbuild
            professional
            capacity and
            to
            strengthen
            occupational
            health
            services for
            workers.
            This would
            be
            particularly
            valuable for
            use in
            resource
            constrained
            (low and
            medium)
            countries.
            The network
            will include
            as a social
            networking
            aspect, a
            global
            network of
            educators
            using and

72
     producing
     the
     materials.



     Current
     projects
     which could
     contribute to
     the creation
     of the
     learning
     repository
     have been
     grouped as
     follows:



     Level 1:
     Discrete
     learning
     resources;

     Level 2: Self
     contained
     learning
     units
     comprising
     discrete
     learning
     resources;

     Level 3:
     Whole
     systematic
     programmes
     which
     combine
     courses for
     professional
     learning;
     and

     Level 4:
     Meta-
     learning
     materials.



73
                                   Kaj Husman kaj.husman@ttl.fi

GPA Manager                        Leslie Nickels lcn9@cdc.gov



                                   Jonny Myers myers.jonny@gmail.com
CC Initiative Leader and
contact information
                                   University of Cape Town

                                   Linda Granger grainger@telkomsa.net

                                   ICOH/University of Cape Town

WHO responsible person
and contact information
                                   Ivan Ivanov ivanovi@who.int




                                   Level 1: Discrete learning resources



                                   3.16e Development of core curriculum in occupational health. Project
Collaborating centre               leaders: Brigitta Danuser, Brigitta.Danuser@hospvd.ch and Petar
partners with separate             Bulat,bulatp@eunet.yu Institute for Work and Health, Lausanne,
contributing PROJECTS              Switzerland and Institute of Radiological Health, Belgrade, Serbia
(List CC, project title, project
number, project leader, and
email)
                                   3.16h Utility of competencies acquired during specialization training in
                                   occupational medicine - evaluation an self-evaluation tool. Project leader:
                                   Andrzej Boczkowski, abocz@imp.lodz.pl Nofer Institute of Occupational
                                   Medicine, Lodz, Poland

                                   3.19a NetWoRM – Netbased training of work-related medicine. Project
                                   leaders: Katja Radon, katja.radon@med.lmu.de , Stefanie Kolb,
                                   Stefanie.Kolb@med.uni-muenchen.de and Laura Wengenroth,
                                   Laura.Wengenroth@med.uni-muenchen.de Institute and Outpatient Clinic
                                   for Occupational and Environmental Medicine, University of Munich,
                                   Germany

                                   3.19b Electronic lesson on evidence-based medicine for occupational

74
     health professionals. Project leader: Frank van Dijk, f.j.vandijk@amc.nl
     Coronel Institute of Occupational Health AMC, University of Amsterdam,
     The Netherlands

     3.19s NEW Contemporary Occupational health and occupational medicine,
     a reference book to professionals and allied personnel. Project Leader:
     Taiyi JIN, Professor: tyjin@shmu.edu.cn Fudan University School of Public
     Health, Shanghai

     3.19t NEW Basic Toxicology a textbook for higher education to public
     health students Project Leader; Zhijun ZHOU, Professor:
     zjzhou@shmu.edu.cn Fudan University School of Public Health, Shanghai




     Level 2: Self contained learning units comprising discrete learning
     resources



     3.18c Developing capacity in biological monitoring in occupational and
     environmental health. Project leader: Inakshi Naik,
     ina.naik@nioh.nhls.ac.za National Institute for Occupational Health
     (NIOH), South Africa



     3.18d E-training in occupational risk prevention for prevention organisers
     in Africa. Project leaders: Martine Plawner, INRS Training Division,
     martine.plawner@inrs.fr , Paul Guenoun, and Annie Leprince,
     annie.leprince@inrs.fr INRS, France



     3.18e METROnet: joint training programme. Project leaders: Sergio
     Iavicoli, sergio.iavicoli@ispesl.it, and Fabio Boccuni,
     fabio.boccuni@ispesl.it ISPESL, Dept. of Occupational Medicine, Italy



     3.18i Short/intensive course curriculum in occupational health (various
     topics). Project leaders: Sarah A. Felknor, Sarah.A.Felknor@uth.tmc.edu,
     and George L. Delclos, George.Delclos@uth.tmc.edu Southwest Center
     for Occupational and Environmental Health, The University of Texas
     School of Public Health, USA



     3.18j Workplace first aid educators and instructors training. Project
     leaders: Annie Leprince, annie.leprince@inrs.fr, Eric Durand,


75
     eric.durand@inrs.fr, and Paul Guenoun. INRS, France



     3.18m Development of training packages for the Psychosocial Risk
     Management toolkit, deliverable through e-learning and face-to-face.
     Project leader: Stavroula Leka,

     Stavroula.Leka@nottingham.ac.uk Institute of Work, Health &
     Organisations, University of Nottingham, UK



     3.18n GeoLibrary: Database of teaching materials and practice tools.
     Project leader: Joseph Zanoni, jzanoni@uic.edu Great Lakes Center for
     Occupational and Environmental Safety and Health, University of Illinois at
     Chicago School of Public Health, USA



     3.18r Technical assistance & training program for developing countries in
     Asia. Project leaders: Jungsun Park, jsunpark@chol.com, and Wook Kim,
     who@kosha.net, wokus@kosha.net Korea Occupational Safety & Health
     Agency (KOSHA), Korea



     3.18v Interdisciplinary courses for occupational and environmental health
     professionals. Project Leaders: Donna Mergler, mergler.donna@uqam.ca
     and Catharina Wesseling, ineke_wesseling@yahoo.com Center for
     Interdisciplinary Studies in Biology, Health, Environment and Society
     (CINBIOSE) University of Quebec at Montreal, Canada

     3.18w Two phases approach to update formal professional training of
     occupational health & safety in Egypt and the Arab world. Project leaders:
     Adel Zakaria, zakaria1959@yahoo.com, and Faten Nofal,
     fatennofal12@yahoo.com Occupational Health Department, High Institute
     of Public Health. Alexandria University, Egypt.

     3.19c Integral management in environment, quality and occupational
     health. Project leader: Manuel Peña, direccion@institutoeuropeo.es
     European Institute of Health and Social Welfare, Madrid, Spain

     Project 3.18z NEW Capacity Building in Occupational Hygiene utilizing
     online capabilities. Project Leaders: Roger Alesbury roger@alesbury.net
     and Steve Bailey steve.r.bailey@gsk.com and David Zalk zalk1@llnl.gov,
     IOHA

     Project 3.18aa NEW Development and dissemination of introductory and
     advanced level training modules in control banding and its toolkits. Hans
     Thore Smedbold (HTS@ohs.no),David Zalk (zalk1@llnl.gov), Mark Hoover
     (zij3@CDC.GOV),Thomas J. Lentz (tbl7@cdc.gov),Roger Alesbury

76
     (roger@alesbury.net) IOHA, NIOSH.

     3.18ab Training for international capacity building in occupational health.
     United Arab Emirates University, UAE

     3.18ad NEW Public health surveillance capacity building training program.
     Project leader: O.C. Elci, omurcinar@gmail.com and Praveen Durgampudi,
     pdurgampudi@sgu.edu and Shantel Peters, speters@sgu.edu St. George
     University, Grenada.



     Level 3: Whole systematic programmes which combine courses for
     professional learning



     3.16d Education and training in risk assessment and risk analysis at a
     master level. Project leader: Angelo Moretto, Angelo.moretto@icps.it
     International Centre for Pesticide Safety and Health Risk Prevention, Italy



     3.17b Human resource development in occupational health and safety
     project: training of nurses specialized in occupational health and safety in
     Benin Republic and African francophone countries. Project leader:
     Benjamin Fayomi, bfayomi@intnet.bj CC URESTE/LUSTE University of
     Abomey-Calavi. Benin



     3.17e International training of occupational and environmental health
     experts. Project leader: Ken Takahashi, ktaka@med.uoeh-u.ac.jp Institute
     of Industrial Ecological Sciences (IIES), UOEH, Japan



     3.18g Professional capacity building in occupational health and safety.
     Project leaders: Vitor Gomes Pinto, vitor.gomes@sesi.org.br, Fernando
     Coelho Neto, fcoelho@sesi.org.br, Vilma Oliveira, voliveira@sesi.org.br,
     and Antonino Germano, agermano@sesirs.org.br SESI- Industrial Social
     Service National Department, Brasilia



     3.18h Fundamentals of occupational health and safety. Project leaders:
     Leslie Nickels, lcn9@cdc.gov, Lorraine Conroy, lconroy@uic.edu, and
     Steve Lacey, slacey@uic.edu Great Lakes Centers for Occupational and
     Environmental Health, University of Illinois at Chicago, USA




77
           3.18s Organizing and conducting courses for health workers, technicians
           and public health workers on assessment and management of
           occupational risks in Vietnam. Project leader: Nguyen Duy Bao,
           baovsld@yahoo.com WHO Collaborating Centre for Occupational Health
           in Vietnam, National Institute of Occupational & Environmental Health
           (NIOEH)



           3.18x Distance learning in ergonomics for Portuguese speaking countries
           in Africa. Project leader: Anabela Simoes,
           anabela.simoes@isec.universitas.pt National Institute of Health, Porto

           High Institute for Education and Science / Instituto Superior de Educação e
           Ciências (in Portuguese) – ISEC



           3.19n International Occupational Health Practice Certificate Program: On-
           line short courses. Project leader: Norbert Wagner, nwagner@uic.edu /
           nwagner@health.usf.edu University of Illinois at Chicago School of Public
           Health, USA



           3.19r Translate portable digital course modules in OEH from English into
           both Spanish and Portuguese and secure mechanisms for delivery of
           modules to resource limited academic institutions in Latin America. Project
           leader: Thomas Robins, trobins@umich.edu University of Michigan, USA



           3.18yNew project – number to be assigned Basic occupational health
           services in Afghanistan. Project leaders: Margaret Kitt, ajy8@cdc.gov, and
           Maria Lioce-Mata, cru6@cdc.gov NIOSH, USA



           Level 4: Meta-learning materials



           3.19j Access to occupational safety & health information in the SADC
           Region and in Portuguese-speaking countries (Portugal, Brazil,
           Mozambique). Project leader: Claudina Nogueira,
           claudina.nogueira@nioh.nhls.ac.za National Institute for Occupational
           Health (NIOH), South Africa



WHO
Regional


78
offices
actively
involved
in this
project
(name
and
email)



Oth The
er SA
par DC
tne initi
rs ativ
for e
thisfor
Fac ele
ilita arni
tin ng
g incl
Pro udi
ject ng
(ema
plo list
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de part
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onss in
,     the
oth Sou
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      n
      Afri
      can
      cou
      ntri
      es
      as
      well
      as
      non
      WH
      O
      CC
      SA

79
     part
     ner
     s
     e.g.
     Uni
     ver
     sity
     of
     Kw
     a
     Zul
     u.



                                        To develop a community of educators for increasing access to
                                        occupational health education and training. Commence the
                                        network by including those WHO CCs and the strong
                                        occupational health institutes who are working on educational
                                        and training materials and practice tools. The social
                                        networking aspect will comprise a global educators‟ network
Summary of the facilitating project     where members may benefit from assistance in the use,
(max 100 words)                         production and adaptation of open educational and training
                                        resources.

                                        Structure, functions and timeline will be developed during a
                                        special workshop held in Geneva in October 2009 linked to the
                                        WHO CC meeting.



                                        Creation of repository space, population of this space with
                                        existing E&T materials, and the development of an (educators)
                                        community of practice.

                                        Materials to include content in IH, OM, OHN, and Safety in at
                                        least 2 languages with participation of at least 15 educators in the
                                        community/network

Anticipated deliverables by 2012 from
contributing projects

                                        Level 1: Discrete learning resources



                                        Project 3.16e Development of core curriculum in occupational
                                        health

                                        Complete manual concerning workplace risk analyses by end


80
     2009

     Present first outlines at the meeting in October 2009 in Geneva



     Project 3.16h Utility of competencies acquired during
     specialization training in occupational medicine - evaluation an
     self-evaluation tool

     Develop readily usable and user-friendly evaluation and self-
     evaluation tools

     Develop evaluation packages for the above tools deliverable
     through e-learning and face-to-face

     Integrate the evaluation tools into the provision of basic
     occupational health services



     Project 3.19a NetWoRM – Netbased training of work-related
     medicine

     Broadening the network of NetWoRM partners

     Implementation of tools to sustain the NetWoRM project in the
     long run



     Project 3.19b Electronic lesson on evidence-based medicine for
     occupational health professionals

     Further dissemination to a wider group of users in postgraduate
     schools for occupational health and to individual professionals

     Dissemination to medical and other students

     When funded: support of use and updating of the lesson

     Analysis how to spread relevant evidence to basic occupational
     health services (BOHS)




     Project 3.19s Contemporary Occupational health and
     occupational medicine, a reference book to professionals and
     allied personnel




81
     Project 3.19t Basic Toxicology a textbook for higher education to
     public health students



     Level 2: Self contained learning units comprising discrete
     learning resources



     Project 3.18c Developing capacity in biological monitoring in
     occupational and environmental health

     A full range of POP and organochlorine metabolites assays to be
     established by 2010.

     Possible establishment of biological monitoring laboratories in
     India

     Introduction of a 5-day certificate course on “Biological
     monitoring of chemical exposures in occupational and
     environmental health” in South Africa and India

     E learning on biological monitoring



     Project 3.18d E-training in occupational risk prevention for
     prevention organisers in Africa

     Causes for student drop-out to be considered

     Increase the number of persons trained year initially

     Identify the most susceptible to become coach, in order to
     multiply the number of trainees



     Project 3.18e METROnet: joint training programme

     “Advanced training course Keeping Employees At Work: the
     Contribution Of Workplace Health Promotion”, 27-30 October,
     2009. INSHT – CNCT Barcelona, Spain.

     “State of the Art on repro-toxicity”, edited by METROnet, 2010.

     “Advanced training course on Movement Analysis Techniques in
     Occupational Health”, 2010. ISPESL – Research Centre, Italy.



     Project 3.18i Short/intensive course curriculum in occupational


82
     health (various topics)

     Continue to deliver short courses (topics, number of offerings and
     dates are determined jointly with our collaborators and vary from
     year to year)



     Project 3.18j Workplace first aid educators and instructors
     training

     Continue to train instructors and educators in order to develop
     and disseminate first aid at the workplace in Africa and to set up
     resource centres.



     Project 3.18m Development of training packages for the
     Psychosocial Risk Management toolkit, deliverable through e-
     learning and face-to-face

     Develop training packages for the toolkit deliverable through e-
     learning and face-to-face (by 2011)



     Project 3.18n GeoLibrary: Database of teaching materials and
     practice tools

     List for focus on most relevant curricula through the iBOSH and
     Learning Repository facilitating projects (2012)

     Evaluation of use, relevancy and reach of GeoLibrary for capacity
     building (2012)



     Project 3.18r Technical assistance & training program for
     developing countries in Asia

     Provide occupational health training programs for occupational
     health practitioners from developing Asian countries every year
     until 2012.



     Project 3.18v Interdisciplinary courses for occupational and
     environmental health professionals

     Produce educational material

     Provide new courses in 14 universities



83
     Project 3.18w Two phases approach to update formal
     professional training of occupational health& safety in Egypt and
     the Arab world.

     Complete preparation of Arabic material essential to update
     training of factory inspectors and OHS specialists in Egypt

     Distribute material in the Arab world.



     Project 3.19c Integral management in environment, quality and
     occupational health

     Complete the design of the training material

     Disseminate the training material for developing countries
     professionals



     Project 3.18z

     Capacity Building in Occupational Hygiene utilizing online
     capabilities

     IOHA



     Project 3.18aa

     Develop and begin loading the CB training modules onto the
     website. Create an online CB discussion forum.



     Project 3.18ab

     Training for international capacity building in occupational health

     UAE

     Project 3.18ad

     Train sufficient surveillance development workforce for the
     region.



     Level 3: Whole systematic programmes which combine



84
     courses for professional learning



     Project 3.16d Education and training in risk assessment and risk
     analysis at a master level

     Share and provide e-learning and distant-learning materials

     Integration into the European system of training of risk assessors

     Offer the masters degree every year from 2009



     Project 3.16g Supplementary modular development of
     postgraduate study in occupational and environmental health

      Identify and to contribute to the collection of southern African
     learning and training materials in an electronic open learning
     repository by 2012

     Contribute to a global network of educators integrated with the
     learning repository by 2012



     Project 3.17b Human resource development in occupational
     health and safety project: training of nurses specialized in
     occupational health and safety in Benin Republic and African
     francophone countries

     Offer occupational health and safety training for nurses in Benin,
     Ivory Coast and Togo



     Project 3.17e International training of occupational and
     environmental health experts

     Within the ODA project framework, 6-7 participants from
     developing countries will be trained every year



     Project 3.18f Post-graduate training in occupational medicine in
     Nicaragua

     None, funding for project cancelled.



     Project 3.18g Professional capacity building in occupational


85
     health and safety

     Continue and enhance the existing work lines

     Deliver new courses to professionals from Brazil, Portuguese-
     speaking African countries and Latin American countries

     Develop new courses and seminars or short- and medium-term
     modular knowledge

     Establish new agreements with the Federal University of Bahia,
     OISS and the WHO Collaborating center (in designation) of
     Senac Sao Paulo



     Project 3.18h Fundamentals of occupational health and safety

     Course offered in Johannesburg, South Africa September 2009,
     Hyderabad, India February 2010

     Train the trainer course for 20 participants (2010)

     Impact evaluation of 2 India courses and 1 South Africa course
     (2011)

     Adapted courses available through GeoLibrary

     Translated components of curricula through the Learning
     Repository Process (2011)



     Project 3.18s Organizing and conducting courses for health
     workers, technicians and public health workers on assessment
     and management of occupational risks in Vietnam

     Complete and disseminate training materials and curriculum for
     OH staffs at different levels and health workers at enterprises on
     assessment and management of occupational risks in Vietnam

     Complete and disseminate some specific training materials and
     curriculum, such as on BOSH, OSH management in health care
     facilities and for asbestos exposure

     Conduct different TOT training courses



     Project 3.18x Distance Learning in ergonomics for Portuguese
     speaking countries in Africa




86
     Edit the manual and corresponding learning materials - 2010

     Dissemination of the course

     The target population will be reached so that the distance
     learning course will start no later than 2011.



     Project 3.19n International Occupational Health Practice
     Certificate Program: On-line short courses

     2 fundamental courses for a total 40 participants

     2 management courses for a total of 30 participants

     2 occupational disease courses for a total of 30 participants

     Evaluation report on successes and barriers to implementation



     Project 3.19r Translate portable digital course modules in OEH
     from English into both Spanish and Portuguese and secure
     mechanisms for delivery of modules to resource limited academic
     institutions in Latin America

     Before being put into final format, modules will be tested to
     ensure that they are culturally appropriate, use language familiar
     to the target audiences and address the key Occupational Health
     issues relevant to the region.

     At the point translations are completed, it is expected that the
     University of Texas will take the lead responsibilities for
     dissemination of the materials to appropriate audiences and
     venues.

     Delivery of modules within existing or newly established degree
     program in resource-limited academic institutions in selected
     Latin American countries will assist in establishing the
     infrastructure necessary for successful full degree programs or
     specialist stream MPH programs in OEH.



     New project: Basic occupational health services in Afghanistan

     Development of in-country expertise by training Occupational
     Health Officers within APHI that will work with Kabul Medical
     University, Institute of Health Sciences, and the veterinary
     community to build occupational safety and health capacity in
     Afghanistan


87
                                         Level 4: Meta-learning materials



                                         Project 3.19j Access to Occupational Safety & Health Information
                                         in the SADC Region and in Portuguese-speaking countries
                                         (Portugal, Brazil, Mozambique)

                                         Efficient coordination of outputs from OSH programmes and
                                         initiatives in the SADC region for better dissemination and use,
                                         through established information repositories and dissemination
                                         avenues, and possibly new networks (e.g. the NIOH website /
                                         Clearing House) as a regional resource for information materials.

                                         Link with OSH training and capacity-building initiatives for target
                                         audiences such as factory inspectors, provincial coordinators and
                                         health care workers

                                         Further development of the Portuguese-speaking network of
                                         occupational health practitioners through continued collaborative
                                         training activities



                                         Identifying a platform for sharing, disseminating and interacting
                                         around materials needs to be done. In addition identifying
                                         materials that can be placed in the repository and establishing
Critical gaps to be filled in order to   mechanisms for regular communication among the educators
fulfill deliverables                     needs to be addressed. It is intended to fill critical gaps that
                                         relate to the educational needs for key competencies for the
                                         various OH disciplines. A list of priorities will be developed for
                                         2012

Barriers Development
to        of a
success community of
that must practice that
addressedwill result in
          contribution to
          and growth of
          the repository
          and most
          importantly the
          use of the
          repository.
          Includes
          interaction

88
     between
     contributors
     and users;
     capacity
     building in
     use,
     adaptation and
     development
     of eLearning
     materials.

     Technological
     aspects
     related to the
     repository –
     platform,
     standards,
     formats,
     metadata,
     tools.

      Access to
     E&T materials
     (identification,
     obtaining
     faculty /
     support for
     lodging them
     in the
     repository, IPR
     aspects (e.g.
     licencing).

     Materials must
     be :

     4.1. suitable
     for use in the
     qualifications
     desired by
     professionals
     especially but
     not exclusively
     in LDCs
     ranging from
     community
     based agents
     through
     generalist


89
     practitioners to
     specialists i.e.
     level and
     discipline/
     competency;

     4.2. of local
     and regional
     relevance and
     based on
     existing
     materials and
     expertise.

     Mechanism for
     monitoring and
     sustaining the
     quality of
     materials.
     (Determination
     of criteria for
     what
     constitutes
     „quality‟,
     establishment
     of a peer
     review/editorial
     system,
     versioning).

     Financial
     resources to
     house,
     maintain and
     develop
     learning
     materials and
     learning
     activities, and
     to make these
     sustainable,
     eg. The
     operation of
     an open OER)
     learning
     repository
     integrated with
     a global online
     platform for


90
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       FACILITATING PROJECTS                              ilabi
                                                          on
                                                          lity
                                                          Co
                                                                   FOR OBJECTIVE 4
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FACILITING PROJECT
(administrative)             GPA 4.1: Encourage practical research on emerging
                             issues, including nanomaterials and climate change.
Work plan project number
                             Climate change projects are included in this Facilitating Project

Facilitating Project title
                             Climate change and Workers Health
GPA Objective
                             Objective 4: To provide and communicate evidence for action and practice


                             4.21 Research on workers‟ health needs to be further strengthened, in particular
GPA Action                   by framing special research agendas, giving it priority in national research
                             programmes and grant schemes, and fostering practical and participatory
                             research.

Priority Area
                             Priority 4.1b: Encourage practical research on emerging issues, including climate
                             change.




Purpose of facilitating
                             To collate and summarise current evidence of the potential effects of climate
project
                             change on workers health to help inform future research on this important
                             emerging topic area.

GPA Managers                 Jo Harris-Roberts, Ed Robinson




CC Initiative Leaders and    Jo Harris-Roberts (jo.harris-roberts@hsl.gov.uk)
contact information          Ed Robinson (edward.robinson@hsl.gov.uk)

                             (HSL, UK)

WHO responsible person       Ivan Ivanov

Collaborating centre         Emerging Area 2: Climate change
partners with separate
contributing PROJECTS
(List CC, project title,
project number, project      Federal Institute for Occupational Safety and Health (BAuA), Germany
leader, and email)
                             IGNIS - Income generation and climate by valorising municipal solid wastes in a
                             sustainable way in emerging megacities (GPA4.21s)



   94
                            Daniela Bleck

                            Bleck.daniela@baua.bund.de



                            Safe Work Australia

                            Emerging OHS issues associated with climate change (GPA4.21ap)

                            Dr Peta Miller

                            peta.miller@safeworkaustralia.gov.au



                            Health and Safety Laboratory, UK

                            The impact of climate change on workers health (GPA4.21ak)

                            Dr Jo Harris-Roberts

                            Jo.harris-roberts@hsl.gov.uk



                            IRSST, Canada

                            Impact of climate change on occupational health and safety (4.21ar)

                            Mr. Joseph Zayed



                            SGU (St. George's University), Grenada

                            Energy for Sustainable Development in the Caribbean

                            Dr. H. Sealy

                            hsealy@sgu.edu



                            Note: JNIOSH (Japan, sawada@h.jniosh.go.jp) is due to submit a climate change
                            related project template for inclusion in due course. Details to follow in next
                            project compendium updates.



WHO Regional offices
actively involved in this   EURO
project (name and email)



  95
                              Climate change represents a key emerging issue that will have implications on
                              global health and safety. The programmes of work within this facilitating project
Summary of the facilitating   will contribute to the identification, colleciton and summary of current evidence of
project (max 100 words)       the potential effects of climate change on workers health, identify needs and gaps
                              to help inform future research on this important emerging topic area.



                              GPA4.21s:

                              In the competence and training centre the compiled results are spread and used.
                              Special transfer studies will try to find out how aspects of IGNIS can be
                              transferred to other Megacities and introduce, if necessary, a transfer of
                              technology and information. The utilization of (part) aspects is held in an
                              utilization plan. Flyer:

                              http://www.emerging-
                              megacities.org/(S(wibgz245hoxn5smduubwynn4))/download/flyer-
                              hauptphase/flyer_future_megacities_addis_ababa.pdf



                              GPA4.21ap:

                              Raised awareness of the emerging OHS issues associated with climate change
                              among Australian and South Pacific workers and persons conducting business
                              undertakings, and the development of Australia OHS Regulations on the
Anticipated deliverables by   management of heat as a hazard. Our research also aims to assist OHS policy
2012 from contributing        makers within Safe Work Australia and internationally to identify and implement
projects                      climate change mitigation and adaptation measures and priorities for workers.



                              GPA4.21aq:

                              A clearer picture of the research needs on the topic with a focus on both
                              developed and developing countries



                              GPA4.21ar:

                              Greater scientific knowledge of the impacts of climate change on OHS.
                              Suggested avenues for future research.

                              IRSST to become a reference centre for Climate Change research



                              GPA4.21au:

                              Energy for Sustainable Development in the Caribbean.


  96
                                Feasibility assessment for renewable energy (solar, wind, etc.) and energy
                                efficient buildings in the region. Job satisfaction and work environment
                                evaluations in office and public buildings after implementation of the project are
                                planned for 2012. Reduce carbon footprint in the region.



                                Other outcomes may arise from new contributing projects that may also provide
                                valuable input into this theme.

Critical Gaps to be filled by
2012 in order to fulfil GPA
                                Clear understanding of the issues facing workers of both developed and
priorities (these lead to
                                developing countries
deliverables desired by
2012)                           Knowledge of the previous and current research in the topic area


Examples of deliverables
desired by 2012 to              A position paper on the current situation regarding climate change and workers
adequately assist               health.
developing countries. It is
these deliverables for          Guidelines for countries to take forwards that will provide a summary of potential
which we will seek projects     hazards, examples of how this is being addressed elsewhere and
from CCs                        recommendations for action to implement own strategies for addressing the issue
                                of climate change.

Barriers to success that        Raising the profile of this topic and gaining the support of government
must be addressed               departments, industry and academia to ensure the findings are acted upon




FACILITING PROJECT
(administrative)                GPA 4.1: Encourage practical research on emerging
                                issues, including nanomaterials and climate change.
Work plan project number
                                Nanotechnology projects are included in this Facilitating Project

Facilitating Project title
                                Coordination of CC Nanotechnology Projects
GPA Objective
                                Objective 4: To provide and communicate evidence for action and practice


GPA Action                      4.20 Systems for surveillance of workers‟ health should be designed with the
                                objective of accurately identifying and controlling occupational hazards. This
                                endeavor includes establishing national information systems, building capability
                                to estimate the occupational burden of diseases and injuries, creating registries


   97
                            of exposure to major risks, occupational accidents and occupational diseases,
                            and improving reporting and early detection of such accidents and diseases.



                            4.21 Research on workers‟ health needs to be further strengthened, in particular
                            by framing special research agendas, giving it priority in national research
                            programmes and grant schemes, and fostering practical and participatory
                            research.



                            4. 22 Strategies and tools need to be elaborated, with the involvement of all
                            stakeholders, for improving communication and raising awareness about
                            workers‟ health. They should target workers, employers and their organizations,
                            policy-makers, the general public, and the media. Knowledge of health
                            practitioners about the link between health and work and the opportunities to
                            solve health problems through workplace interventions should be improved.



Priority Area
                            Priority 4.1a: Encourage practical research on emerging issues, including
                            nanomaterials

                            Emerging issues brought about by nanotechnology represent global challenges
                            with implications for public health. The aim of this facilitating project is to
Purpose of facilitating     summarize and coordinate projects related to these issues, focusing particularly
project                     on their deliverables in the form of global reports and communication strategies
                            with low- and medium income countries on interventions to ensure workers‟
                            health

GPA Managers                Jo Harris-Roberts, Ed Robinson

                            Rosemary Gibson; Rosemary.Gibson@hsl.gov.uk
CC Initiative Leaders and
                            Vladimir Murashov; Vladimir.Murashov@cdc.hhs.gov
contact information



WHO responsible person      Ivan Ivanov

                            Emerging Area 1: Nanotechnology (Initiative Leaders: Rosemary Gibson;
Collaborating centre
                            Vladimir Murashov)
partners with separate
contributing PROJECTS       GPA4.21l. How to assess the adequacy of safety measures for manufactured
(List CC, project title,    nanoparticles. Project Leader: Michael Riediker; Michael.Riediker@hospvd.ch
project number, project     Institute for Work and Health, Lausanne, Switzerland
leader, and email)
                            GPA4.21m. Best practices globally for working with nanomaterials. Project
                            Leaders: Charles Geraci CGeraci@cdc.gov; Vladimir Murashov
                            Vladimir.Murashov@cdc.hhs.gov. National Institute for Occupational Safety and

   98
     Health (NIOSH), USA.

     GPA4.21n. Nano-Comms: A Technical Observatory for the dissemination of
     information regarding nanoparticle health and safety issues. Project Leader:
     Rosemary Gibson; Rosemary.Gibson@hsl.gov.uk. Health and Safety Laboratory,
     UK

     GPA4.21o. Assessing the Hazard of Nanomaterials. Project Leader: Lang Tran;
     lang.tran@iom-world.org. Institute of Occupational Medicine, Edinburgh, UK

     GPA4.21p. NanOSH Italy. Project Leaders: Sergio Iavicoli
     (sergio.iavicoli@ispesl.it); Fabio Boccuni (fabio.boccuni@ispesl.it). ISPESL –
     Dept. of Occupational Medicine ITALY.

     GPA4.21q. Development of database for individuals working with engineered
     nanomaterials. Project Leader: Judy Sng, ephjsgk@nus.edu.sg NUS, Singapore.

     GPA4.21v. Assessing the Hazard of Nanoparticles and Communicating the
     Risks: SAFENANO. Project Leader: Rob Aitken, rob.aitken@iom-world.org.
     Institute of Occupational Medicine (IOM), UK

     GPA4.21ao. Application of practical research to help ensure that the OHS
     Regulatory Framework and OHS management effectively covers issues
     associated with nanotechnology. Dr Howard Morris
     howard.morris@safeworkaustralia.gov.au

     Safe Work Australia

     GPA4.21av. New knowledge development on nanotechnologies. Mr. Claude
     Ostiguy, Chemist, Ph.D. in Inorganic Chemistry. Director of Research and
     Expertise Support Department, IRSSTostiguy.claude@irsst.qc.ca

     GPA4.21as. Participation in ISO TC 229/WG 3 /PG 8 "Guidelines for
     occupational risk management applied to engineered nanomaterials based on a
     control banding approach". Dave Zalk (IOHA envoy) zalk1@llnl.gov enri
     Heussen (IOHA envoy) henri.heussen@arbounie.nl

     GPA4.21at. Stoffenmanager Nano, version 1.0. TNO Quality of Life in
     Hoofddorp, the NetherlandsAlbert Hollander, TNO Quality of Life,
     a.hollander@tno.nl

     GPA4.22m. Sustainability and risk management for occupational safety - part 3
     industrial hygiene. The International Ergonomics Association (IEA). Équipe de
     recherche en sécurité du travail (ÉREST) - K.J. Zink (U. de Kaiserslautern -
     Germany), erest@etsmtl.ca.



     Note: Institut universitaire romand de Santé au Travail (IST – Switzerland,
     Michael.Riediker@hospvd.ch) and JNIOSH (Japan, sawada@h.jniosh.go.jp) are
     due to submit Nanotechnology related project templates for inclusion in due


99
                              course. Details to follow in next project compendium updates.



WHO Regional offices
actively involved in this
project (name and email)

                              The contributing projects summarized here are aiming to improve OSH in
Summary of the facilitating   nanotechnology by conducting research and developing global reports and
project (max 100 words)       communication strategies with low- and medium income countries on
                              interventions to ensure workers‟ health.

                              Emerging Area 1: Nanotechnology: (Initiative Leaders: Rosemary Gibson;
                              Vladimir Murashov)

                              4.21l. How to assess the adequacy of safety measures for manufactured
                              nanoparticles. Project Leader: Michael Riediker; Michael.Riediker@hospvd.ch.
                              Institute for Work and Health, Lausanne, Switzerland

                              guidelines for the assessment of safety measures used in production, 24/45
                              application, use and disposal of nanoparticles and nanoparticle-containing
                              products.

                              4.21m. Best practices globally for working with nanomaterials. Project Leaders:
                              Charles Geraci CGeraci@cdc.gov; Vladimir Murashov
                              Vladimir.Murashov@cdc.hhs.gov. National Institute for Occupational Safety and
                              Health (NIOSH), USA.

Anticipated deliverables by   NIOSH “Current Intelligence Bulletin” on Working with Engineered
2012 from contributing        Nanomaterials containing recommendations on health effects, exposure limits,
projects                      exposure monitoring, personal protective equipment (PPE), respiratory
                              protection, and engineering controls.

                              ISO standards on nanotechnology occupational safety and health.

                              OECD guidance documents on risk assessment and risk management for
                              nanotechnology workplace

                              4.21n. Nano-Comms: A Technical Observatory for the dissemination of
                              information regarding nanoparticle health and safety issues. Project Leader:
                              Rosemary Gibson; Rosemary.Gibson@hsl.gov.uk. Health and Safety Laboratory,
                              UK

                              network of international experts in the field of health and safety issues of
                              nanoparticles.

                              portal for the collection, production and dissemination of information regarding
                              health and safety issues of nanoparticles.

                              4.21o. Assessing the Hazard of Nanomaterials. Project Leader: Lang Tran;


  100
      lang.tran@iom-world.org. Institute of Occupational Medicine, Edinburgh, UK.

      Recommendation of in vitro toxicology tests for nanoparticles and nanotubes.

      4.21p. NanOSH Italy. Project Leaders: Sergio Iavicoli (sergio.iavicoli@ispesl.it);
      Fabio Boccuni (fabio.boccuni@ispesl.it). ISPESL – Dept. of Occupational
      Medicine ITALY.

      Toxicological analysis

      Exposure assessment and analysis of at risk processes

      Qualitative evaluation with control banding methodology

      Model of workplace monitoring

      Validation of methodology.

      4.21q. Development of database for individuals working with engineered
      nanomaterials. Project Leader: Judy Sng, ephjsgk@nus.edu.sg. NUS,
      Singapore.

      registry of persons working with Nanomaterials, documenting the type and
      nature of exposure, development of job exposure matrix and health surveillance
      protocol

      4.21v. Assessing the Hazard of Nanoparticles and Communicating the Risks:
      SAFENANO. Project Leader: Rob Aitken, rob.aitken@iom-world.org. Institute of
      Occupational Medicine (IOM), UK.

      maintained and developed website.

      4.21ao. Application of practical research to help ensure that the OHS Regulatory
      Framework and OHS management effectively covers issues associated with
      nanotechnology. Dr Howard Morris howard.morris@safeworkaustralia.gov.au

      Safe Work Australia: The development of a nationally coordinated approach to
      promoting workplace safety in the use of nanotechnology by 2012.

      4.21av. New knowledge development on nanotechnologies. Mr. Claude Ostiguy
      ostiguy.claude@irsst.qc.ca Production of state-of-the-art reviews on health effects,
      risks, and OHS prevention measures, as well as a good practices guide on the
      safe handling of nanoparticles.

      4.21as. Standard technical guidance for developing control banding approach
      targeted at Manufactured Nano Objects.

      4.21at. Release of version 1.0. of the website (Oct 2010), report, Scientific
      paper, Stoffenmanager Nano version 2.0 .

      4.22m. Develop an aerodynamic behavior model for nanoparticles produced
      during a manufacturing process


101
Critical Gaps to be filled by
2012 in order to fulfil GPA     Emerging risks in nanotechnology workplace pose a global challenge to safety
priorities (these lead to       and health community. Approaches to identify, mitigate and communicate these
deliverables desired by         risks to low- and medium income countries are needed.
2012)

Examples of deliverables
desired by 2012 to
adequately assist
                                Global reports and communication strategies with low- and medium income
developing countries. It is
                                countries on interventions for nanotechnology to ensure workers‟ health.
these deliverables for
which we will seek projects
from CCs

Barriers to success that
must be addressed




   FACILITING
   PROJECT
   (administrative)
                            GPA 4.2: Further develop the global research agenda
   Work plan project        for workers’ health
   number

   Facilitating Project
   title                    Global research Matrix

   GPA Objective
                            Objective 4: To provide and communicate evidence for action and practice


                            4.21 Research on workers‟ health needs to be further strengthened; in particular
   GPA Action
                            by framing special research agendas, giving it priority in national research
                            programmes and grant schemes, and fostering practical and participatory
                            research.

   Priority Area
                            Priority 4.2: Further develop the global research agenda for workers‟ health




   Purpose of               To collate and summarise current strategies for occupational health and safety


   102
facilitating project   research from CC members within the WHO network and establish potential gaps
                       and opportunities for further research.


GPA Managers           Jo Harris-Roberts, Ed Robinson



CC Initiative          Jo Harris-Roberts (jo.harris-roberts@hsl.gov.uk)
Leaders and contact
information            Ed Robinson (edward.robinson@hsl.gov.uk)

                       (HSL, UK)

WHO responsible
                       Ivan Ivanov
person

Collaborating centre
partners with          Currently, there are no specific Contributing projects that have the aims of
separate               addressing this priority in their own right,
contributing
PROJECTS (List
CC, project title,     However, under the scope of this facilitating project, all CC members currently
project number,        within all the GPA objective areas will potentially “contribute” to this work by
project leader, and    sharing basic strategic information to help populate a research matrix.
email)


                       This current facilitating project is led by the Health and Safety Laboratory, UK




WHO Regional
offices actively
involved in this       EURO
project (name and
email)



                       In order to assist the further development of the global research agenda into
                       workers‟ health, a clear understanding must first be obtained of the current (and
Summary of the         historical) research topics that countries are(or have been) involved with.
facilitating project
(max 100 words)
                       HSL will make best use of the WHO CC network to establish current topics of
                       OHS research. This will lead to the development of a „matrix‟ that summarizes the
                       work to date in order to identify current gaps in research activities.

                       This information will in turn be disseminated to the wider community to assist the


103
                           future strategic direction of OSH research allowing for greater focus on topics that
                           will have a greater, measurable impact on the workers health in both developed
                           and developing countries.




  Anticipated
  deliverables by 2012
  from contributing
  projects
                           Other outcomes may arise from new contributing projects that may also provide
                           valuable input into this theme.



  Critical Gaps to be
  filled by 2012 in
  order to fulfil GPA
  priorities (these lead   Clear understanding of the current research themes undertaken by relevant
  to deliverables          establishments in the field of occupational safety and health.
  desired by 2012)


  Examples of
  deliverables desired     An overview of current research strategies and topics will also help to identify
  by 2012 to               areas of work that are not currently supported or that don‟t address the needs of
  adequately assist        the wider community.
  developing
  countries. It is these
  deliverables for
  which we will seek       This will allow the research gaps to be identified which in turn will offer future
  projects from CCs        direction to the decisions and strategies of occupational health and safety
                           research agendas both in the developed and developing world.

  Barriers to success
                           Gaining the support of potential contributors to offer and share their research
  that must be
                           strategies in order to populate a research matrix.
  addressed




FACILITING
PROJECT
(administrative)           GPA 4.3: Revision of the International Statistical

  104
Work plan project            Classification of Diseases and Related Health Problems
number
                             (ICD) to include ccupational causes in the eleventh
                             edition.

Facilitating Project title   Revision of the International Statistical Classification of Diseases and Related
                             Health Problems (ICD)
GPA Objective
                             Objective 4: To provide and communicate evidence for action and practice


                             Priority 4.23 WHO will define indicators and promote regional and global information
GPA Action                   platforms for surveillance of workers‟ health, will determine international exposure
                             and diagnostic criteria for early detection of occupational diseases, and will include
                             occupational causes of diseases in the eleventh revision of the International
                             Statistical Classification of Diseases, and Related Health Problems.

                             Priority 4.3: Revision of the International Statistical Classification of Diseases
Priority Area
                             and Related Health Problems (ICD) to include

                             occupational causes in the eleventh edition.



                             Plan an approach for the effective revision of the ICD series to include occupational
Purpose of facilitating                       th
                             disease in the 11 edition and conduct an process of the revision in line with WHO
project
                             deadlines



GPA Managers                 Jo Harris-Roberts, Ed Robinson, Ivan Ivanov




CC Initiative Leaders        Jo Harris-Roberts (jo.harris-roberts@hsl.gov.uk)
and contact information      Ed Robinson (edward.robinson@hsl.gov.uk)

                             (HSL, UK)

WHO responsible
                             Ivan Ivanov, Rokho Kim
person

Collaborating centre
partners with separate
                             This current facilitating project is led by the Health and Safety Laboratory, UK
contributing
PROJECTS (List CC,           Input will include a range of CC members who will contribute to elements of this
project title, project
                             specific work task directly rather than submit individual projects.
number, project leader,
and email)




   105
WHO Regional offices
actively involved in this
                            EURO
project (name and
email)

                            The International Statistical Classification of Diseases and Related Health Problems
                            (most commonly known by the abbreviation ICD) provides codes to classify
                            diseases and a wide variety of signs, symptoms, abnormal findings, complaints,
                            social circumstances, and external causes of injury or disease. The ICD is
                            published by the World Health Organization and used worldwide for morbidity and
                            mortality statistics, reimbursement systems and automated decision support in
                            medicine. Currently, occupational diseases are not included in the publication.
                            However, the WHO wish to include occupation in the next revision, in-line with its
                            priorities.


Summary of the
facilitating project        · To develop a 'road map' that provides options and models for instructing the
(max 100 words)             process of the ICD revision to incorporate occupational causes of disease.

                            · To consult with international partners on the 'road map' to agree and implement
                            the revision process.

                            · To undertake the revision process through consultation and collaboration with
                            appropriate UK partner organisations and experts (via a proposed expert workshop)
                            and international equivalents.

                            · To collate appropriate evidence/information and contribute to drafting the 11th
                            edition of ICD (external causes).



                            Note: Contributing projects will not be a component of this work.



Anticipated
                            · A 'road map' plan outling the results of a brief scoping exercise that aims to
deliverables by 2012
                            propose models for the revision process.
from contributing
projects                    · A final revision plan (following international consultation of the 'road map') that
                            clearly defines the process.

                            · A draft edition of ICD-11 (External causes) that incorporates occupational causes
                            of disease.

                            · Once agreed, this document will be disseminated via the WHO (website, new


   106
                           articles and notifications) on a global scale. Electronic and hard copies will be made
                           available through the WHO and specialist medical publishers/press.

Critical Gaps to be
filled by 2012 in order
to fulfil GPA priorities
(these lead to
deliverables desired by
2012)

Examples of
deliverables desired by
2012 to adequately
assist developing          Note: Contributing projects will not be a component of this work.
countries. It is these
deliverables for which
we will seek projects
from CCs

Barriers to success that
must be addressed




                    FACILITATING PROJECTS FOR OBJECTIVE                                    5

  107
FACILITATING               GPA 5.1: Review and summary of cost-benefit
PROJECT
                           studies to clarify the economic benefits of workers’
                           health
                           Review and summary of cost-benefit studies to clarify the economic
Project title
                           benefits of workers’ health

GPA Objective              Objective 5: to incorporate workers‟ health in to other policies

GPA Actions                5.24 to 5.28

                           Priority 5.1: Collate and conduct cost-benefit studies to clarify the economic
Priority Area
                           benefits of workers‟ health.

                           The aim of this facilitating project is to coordinate projects that directly
                           contribute to achievement of Priority 5.1 – to examine these industries,
Purpose of
                           identify causes of injuries and fatalities, and collate and conduct cost-benefit
facilitating project
                           studies to clarify the economic benefits of workers‟ health, thereby
                           contributing to GPA Objective 5.

GPA Manager                Wendy Macdonald

CC Initiative Leader
and contact                Jos Verbeek (jos.verbeek@ttl.fi), Diana Gagliardi (diana.gagliardi@ispesl.it)
information

WHO responsible
                           Evelyn Kortum
person

                           5.24

                           Economic dimensions of occupational safety and health. Finnish Institute of
                           Occupational Health (FIOH). Jos Verbeek, jos.verbeek@ttl.fi
Collaborating centre
partners with              5.24b
separate contributing
projects                   National analysis of Disability Adjusted Life Years (DALY) in relation to
                           occupational diseases and injuries and indication of prevention strategies in
                           workplaces. Dept. of Occupational Medicine, ISPESL. Dr Diana Gagliardi
                           (diana.gagliardi@ispesl.it); Dr Bruna Maria Rondinone
                           (bruna.rondinone@ispesl.it); Dr Carlo Grandi (carlo.grandi@ispesl.it)

WHO Regional
offices actively
involved in this project
(name and email)

Summary of the             The primary purpose of this project is to identify gaps in the deliverables
facilitating project       expected from the existing three projects, as a basis for identifying future
                           strategies and specific projects to more effectively clarify the economic

108
                       benefits of improved OSH.

                       5.24

                       Eleven presentations from a workshop on The impact of OSH on
                       company performance, downloadable from:
                       http://www.ttl.fi/Internet/partner/Ecosh/Workshop+on+Productivity/presentatio
                       ns.htm. Workshops to date have identified various needs for further action,
                       including:

                       Two further workshops in 2009, on:

                       Economic evaluation of OSH interventions

                       Economic incentives for the uptake of OSH measures.

                       Additional information on the Ecosh website

                       Written reports:

                       9 scientific articles

                       summary report for WHO network (most effective means of dissemination to
                       be discussed)
Anticipated
deliverables by 2012   5.24b
from contributing
projects               Occupational risk factors and exposed worker population have been
                       identified.

                       Calculation of DALY (ongoing)

                       Two publications have been producted:

                       Valenti A, Rondinone BM, Iavicoli S – Salute e sicurezza sul lavoro – Costo
                       Zero (3): 70-71, 2008.

                       Rondinone BM, Boccuni F, Petyx C, Valenti A, Iavicoli S – Proposta di
                       applicazioni della metodologia per il calcolo del DALY (Disability Adjusted Life
                       Years) per le malattie professionali in Italia – G Ital Med Lav Erg 2006, 28(3):
                       341-343.

                       Quantification of number of DALYs due to occupational diseases at national
                       level.

                       Quantification of costs per DALY avoided

                       Synthesis of major results on scientific peer-reviewed publications

                       Transferability of results through training events




109
                    Gaps in research evidence:

                    Insufficient insight into the relation between physical and mental health and
                    job performance or productivity

                    Insufficient insight into the relation between job satisfaction, engagement and
                    commitment to work. For some of these parameters we don‟t even now if they
                    contribute to health or to illhealth.
 Critical Gaps
                    Gaps in professional expertise of OSH practitioners:

                    OSH practitioners need more expertise in marketing and communication
                    strategies; and in using/implementing costbenefit analysis techniques.

                    Need for wider dissemination of OSH:

                    Should mainstream OSH into education system, especially in courses of
                    lawyers, engineers, economists.




FACILITATING     GPA 5.2: Recommendations to manage risks
PROJECT
                 associated with the effects of globalization on
                 workers’ health
                 Recommendations to manage risks associated with the effects of
Project title
                 globalization on workers’ health

GPA Objective    Objective 5: to incorporate workers‟ health in to other policies




110
                       Resolution WHA 60.26 urged Member States of WHO …

                       (6) to encourage incorporation of workers’ health in national and sectoral policies
                       for sustainable development, poverty reduction, employment, trade,
                       environmental protection, and education; and

                       (7) to encourage the development of effective mechanisms for collaboration and
                       cooperation between developed and developing countries at regional, subregional
                       and country levels in implementing the global plan of action on workers‟ health;

                       The most specifically relevant GPA Actions are:

                       24. The capacities of the health sector to promote the inclusion of workers‟ health
                       in other sectors‟ policies should be strengthened. Measures to protect workers‟
                       health should be incorporated in economic development policies and poverty
                       reduction strategies. The health sector should collaborate with the private sector
GPA Actions 24-27      in order to avoid international transfer of occupational risks and to protect health
                       at the workplace. Similar measures should be incorporated in national plans and
                       programmes for sustainable development.

                       25. Workers‟ health should likewise be considered in the context of trade policies
                       when taking measures as specified in resolution WHA59.26 on international trade
                       and health.

                       26. Employment policies also influence health; assessment of the health impact of
                       employment strategies should therefore be encouraged. Environmental protection
                       should be strengthened in relation to workers‟ health through, for instance,
                       implementation of the risk-reduction measures foreseen in the Strategic Approach
                       to International Chemicals Management, and consideration of workers‟ health
                       aspects of multilateral environmental agreements and mitigation strategies,
                       environmental management systems and plans for emergency preparedness and
                       response.

                       5.2 Develop specific and relevant recommendations to manage risks associated
Priority Area
                       with the effects of globalization on workers‟ health.


                       A key purpose of this project is to identify gaps in the deliverables expected from
Purpose of             the existing four projects, as a basis for identifying future strategies and specific
facilitating project   projects required to generate an effective set of recommendations addressing
                       negative impacts of globalization on OSH.


GPA Manager            Wendy Macdonald

CC Initiative Leader   David Rees, National Institute for Occupational Health, South Africa
and contact
information            David.rees@nioh.nhls.ac.za +27 11 7126502

WHO responsible
                       Evelyn Kortum
person


111
                       5.24a

                       Global situation analysis – overall project. Prof. David Rees: South African
                       National Institute for Occupational Health, Email: david.rees@nioh.nhls.ac.za; Dr
                       Wendy Macdonald; Centre for Research and Teaching in Occupational
                       Ergonomics, La Trobe University, Email : w.macdonald@latrobe.edu.au



                       5.24a-1

                       Globalization and Occupational Health in Shanghai, China. Taiyi. JIN and Wei LU
                       Email address: tyjin@shmu.edu.cn, weiloo@scdc.sh.cn. Department of
Collaborating          Occupational Health, Fudan University; Shanghai Municipal Center of Disease
centre partners        Prevention and Control.
with separate
contributing
projects               5.26a

                       Changing patterns in employment and its impact in occupational health in South
                       American countries. Dr. Marisol Concha, Sr. Rodrigo Pezo mconcha@achs.cl;
                       rpezo@achs.cl Asociación Chilena de Seguridad (ACHS).



                       5.26b

                       The requirement analysis of occupational safety and health for migrant workers
                       ongoing globalization and changing employment patterns in China. Tao Li.
                       niohplt@sina.com. National Institute of Occupational Health and Poison Control,
                       Chinese Centre for Disease Control and Prevention, Beijing.

WHO Regional
offices actively
involved (name and
email)

                       This project documents expected outputs from the four existing projects, in order
Summary of the         to identify gaps in expected deliverables and to identify the nature of further work
facilitating project   required to generate an effective set of recommendations to address identified
                       negative effects of globalization on workers‟ health.

                       5.24a

                       A summary report of evidence-based conclusions concerning key determinants of
Anticipated
                       the negative effects of globalization on workers‟ health within a conceptual
deliverables by
                       framework identifying relationships between these determinants, focusing
2012 from
                       particularly on work-related hazards and risk factors
contributing
projects               A short report outlining the kinds of policy instruments, recommendations and
                       actions that could be taken to reduce the negative aspects of globalization on

112
                work-related hazards of all types, at international, regional and national levels.

                compilation of short documents appropriate for specific target groups to
                disseminate the policies, recommendations and actions

                5.24a-1

                The current status of basic occupational health services in 19 counties and
                districts of 4 provinces in China has been documented, including analyses of:

                status of migrant workers

                incidence of occupational diseases.

                Substantial capacity development within the area studied: training courses and
                other significant improvements in basic occupational health service practices were
                implemented.

                The area covered will extended from 19 to 40 counties and districts of more
                provinces.

                5.26a

                A discussion paper on changing employment patterns and their impact on
                occupational health in some South America countries

                5.26b

                Survey of the current status of occupational health services in state-owned
                enterprises, joint ventures and sole proprietorship corporations in Shanghai
                Municipality

                Presentation to ICOH 2009 on Globalization and Occupational Health in China

                Current projects are very limited in terms of both their regional coverage and the
                kinds of issues addressed. Expansion of coverage by a wider set of specific
                projects would be very useful.

Critical Gaps   The current project teams needs to recruit additional expertise to assist in
                formulating examples of feasible and effective recommendations, policy tools and
                actions to address the negative aspects of globalization. A global task team to
                address this need, focusing on development of some specific types of policies and
                strategies, may be a solution.




113
FACILITATING           GPA 5.3-1: Hazardous Industries (with projects
PROJECT                organized by area of work)
Project title
                       Development and implementation of toolkits and other resources for the
                       assessment and management of occupational safety and health hazards in
                       high risk industry sectors.


GPA Objective
                       Objective 5: to incorporate workers‟ health in to other policies


GPA Actions
                       5.24, 5.27, 5.28


Priority Area
                       Priority 5.3: Implement toolkits for the assessment and management of OSH
                       hazards in high risk industry sectors and for vulnerable groups of workers.

                       The top four most hazardous industry sectors, based on fatality rates, are agriculture,
                       mining, transportation, and construction. The aim of this facilitating project is to
                       coordinate projects that examine these industries, identify causes of injuries and
                       fatalities, and develop and implement toolkits to reduce risk. The projects are
                       separated into five areas:
Purpose of
facilitating project   Area A: Agriculture.

                       Area B: Transport.

                       Area C: Construction

                       Area D: Mining

                       Area E: Multi-sector



GPA Manager            Wendy Macdonald

CC Initiative
Leader and
                       Catherine Beaucham; htn9@cdc.gov
contact
information

WHO responsible
                       Evelyn Kortum
person




114
                      Projects are organized by area:

                      Area A: Agriculture: Claudio Colosio

                      5.28e Improving the working environment in cutting and extraction of wood in south-
                      central state of Rio Grande do Sul – Brazil. Project Leader: Cristiane Paim da
                      Cunha; cristiane.cunha@fundacentro.gov.br FUNDACENTRO, BRAZIL.

                      5.28h Exposure Assessment and occupational health in petrochemical industry,
                      banana production and floriculture in Ecuador. Project Leaders: Vito Foa;
                      vito.foa@unimi.it. Silvia Fustinoni; silvia.fustinoni@unimi.it Clinica del Lavoro “Luigi
                      Devoto” Milano, Italy

                      5.28j Control of Occupational hazards associated with pesticides in agriculture.
                      Project Leader: Professor L London ll@cormack.uct.ac.za; Tropical Pesticides
                      Research Institute, Arusha, Tanzania.

                      5.28k Lung disease in Agriculture – tools for assessment of exposure, burden of
Collaborating         disease and prevention. Project Leaders: Holger Dressel; Holger.Dressel@med.uni-
centre partners       muenchen.de Rudi Schierl; Rudolf.schierl@med.uni-muenchen.de
with separate
contributing          5.28l Ergonomics Checkpoints in Agriculture – A toolkit for developing countries.
PROJECTS (List        Project Leader;David C Caple; davidcaple@pacific.net.au
CC, project title,
                      5.28m Development of risk assessment guidelines for agricultural workers. Project
project number,
                      Leader: Angelo Moretto; angelo.moretto@icps.it. ICPS, Milan, Italy.
project leader, and
email)                5.27f Pesticide use, Health and Environment – Uganda 2010-13. Project Leader:
                      Erik Jors: erik.joers@ouh.regionsyddanmark.dk Clinic of Occupational and
                      Environmental Health, Odense University Hospital, Denmark

                      5.27g Pesticide, Health and Environment – Plagbol III - 2010-13 - Bolivia. Project
                      Leader: Erik Jors: erik.joers@ouh.regionsyddanmark.dk Clinic of Occupational and
                      Environmental Health, Odense University Hospital, Denmark

                      5.27h Sustainable Capacity building for African Pesticide Regulators to reduce
                      occupational pesticide risks. Project Leader: Hanna-Andrea Rother,
                      andrea.rother@uct.ac.za, University of Cape Town

                      5.27i Creation of Exposure and Risk Profiles for risk assessment and management
                      in Agriculture. Project Leader: Claudio Colosio, claudio.colosio@unimi.it,
                      International Centre for Rural Health (ICRH), Milan, Italy

                      5.27j Developing diagnostic and exposure criteria for occupational diseases in
                      agriculture and rural areas. Project Leader: Claudio Colosio,
                      claudio.colosio@unimi.it, International Centre for Rural Health (ICRH), Milan, Italy

                      5.27k Providing Agricultural Workers with Primary Occupational Health Care. Project
                      Leader: Chiara Somaruga, chiara.somaruga@unimi.it, International Centre for Rural
                      Health (ICRH), Milan, Italy

                      5.27m Creation of a Global Rural Health Network. Project Leader: Claudio Colosio,

115
      claudio.colosio@unimi.it, International Centre for Rural Health (ICRH), Milan, Italy

      5.27n Addressing Occupational Health Problems Among Nutmeg Factories Workers.
      Project Leaders: Dr. M. Akpinar-Elci, makpinarelci@sgu.edu; Dr. Satesh Bidaisee,
      sbidaisee@sgu.edu; Dr. O. C. Elci, omurcinar@gmail.com; Department of Public
      Health and Preventive Medicine, School of Medicine, St. George's University,
      Grenada



      Area B: Transport: Lygia Therese Budnik

      5.24d Establishment of an international working group for the utilization of
      telemedicine to reduce health risks of seafarers. Project Leader: Marcus Oldenburg,
      Xaver Baur; marcus.oldenburg@bwg.hamburg.de Department of Maritime Medicine
      of Central Institute of Occupational Medicine, Hamburg, Germany.

      5.27b Road safety toolkits for organizations whose employees travel abroad within
      the PAHO region. Project Leader: Stephanie Pratt sgp2@cdc.gov NIOSH, USA

      5.28g Promoting Initiatives for Occupational Road Safety. Project Leader: Jane
      Hingston, JHingston@cdc.gov; NIOSH, USA



      Area C: Construction

      5.28b Preventive programme designed to reduce musculoskeletal pain for
      construction workers and students of construction schools. Project Leader: Zbigniew
      W. Józwiak, zbyszekij@imp.lodz.pl Nofer Institute of Occupational Medicine, Lodz,
      Poland.

      5.28i Estimation of work-related physical load and occupational risk evaluation in
      construction sector.

      5.28n Assessment of exposure to carcinogenic compounds, focusing on plycyclic
      aromatic hydrocarbons (PAHs), in construction workers. Clinica del Lavoro “Luigi
      Devoto”, Milano, Project Leader: Laura Campo laura.campo@unimi.it.



      Area D: Mining and Petrochemicals

      5.27c Improving Mining Safety and Health in Colombian Mines. Project Leader:
      Jeffery L. Kohler, Ph.D. JKohler@CDC.gov; NIOSH, USA.

      5.27d Exposure to diesel particulates and their health effects on employees in an
      underground mine in Western Australia. Project Leaders: Le Jian,
      l.jian@curtin.edu.au; Janis Jansz; j.jansz@curtin.edu.au International Ergonomics
      Association (IEA)

      5.27e Collaborative project on assessment and control of diesel particulate matter


116
                       exposure among underground mine workers. Project Leader: Krassi Rumchev,
                       r.rumchev@curtin.edu.au; International Ergonomics Association (IEA)

                       5.28q Environmental and occupational risks in the petrochemical sector . Project
                       Leader: Prof Bakirov Ufa Institute bakirov@anrb.ru

                       Area E: Multi-sector

                       5.27a Sharing workplace OSH practices through sector-based global collaborations
                       (NORA). Project Leader: Max Lum; mlum@cdc.gov, Marilyn Fingerhut:
                       mfingerhut@cdc.gov; NIOSH, USA.

                       5.28c Enhancement of Occupational Health and Safety in Mexican Industry Project
                       Leader: Leonard Sassano; lsassano@iapa.ca; IAPA, Canada

                       5.28d Enhancement of Occupational Health and Safety in Brazilian Industry. Project
                       Leader: Leonard Sassano; lsassano@iapa.ca; IAPA, Canada

                       5.28f Occupational Health Services of Small Scale Industries. Project Leader:
                       Shigeki Koda; koda@h.jniosh.go.jp Aichi University of Education, Japan

WHO Regional
offices actively
involved in this
project (name and
email)

                       These projects have identified hazards in the industrial sectors of agriculture,
                       transport, construction, and mining. Each contributing project in this facilitating
                       project studies the conditions contributing to injuries and fatalities within the sectors,
Summary of the
facilitating project   and examines a toolkit approach to control the hazard or increase the knowledge of
(max 100 words)        the professionals involved in controlling the hazard. The 5th category examines the
                       problem from a multi-sectoral approach.



                       Area A: Agriculture: Claudio Colosio

                       5.28e Improving the working environment in cutting and extraction of wood in south-
                       central state of Rio Grande do Sul – Brazil. Project Leader: Cristiane Paim da
Anticipated            Cunha; cristiane.cunha@fundacentro.gov.br FUNDACENTRO, Brazil
deliverables by
2012 from              Studying the current conditions of the working environment through risk assessment
contributing           evaluation
projects
                       Generate scientific data for OSH activities for publication. 1 article has been
                       published.

                       Planning specific training in OSH for the actors involved. Thus far, 100 employees
                       have been trained and 30 entrepreneurs have been trained.

                       Dissemination of results to the local community, class organizations, and research

117
      bodies involved.

      Development of search Engines

      Collection and analysis of data

      Participation in events, 3 in Brazil, 1 International Event.

      Additional article expected by 2012

      Health and safety improvement in 60% of small and micro enterprises studied
      expected by 2012.

      5.28h Exposure Assessment and occupational health in petrochemical industry,
      banana production and floriculture in Ecuador. Project Leaders: Vito Foa;
      vito.foa@unimi.it. Silvia Fustinoni; silvia.fustinoni@unimi.it Clinica del Lavoro “Luigi
      Devoto” Milano, Italy

      To conduct three Studies in Ecuador on: petrochemical industry, floiculture and
      banana producers. Investigate exposure to solvents, heavy metals, and pesticides
      and will establish their outcome on workers‟ health.

      To develop training programs for physicians, nurses, and technicians in occupational
      health.

      To publish booklets to address risk management and scientific articles to report the
      results of the studies.

      To improve technical capability of laboratories in Ecuador dealing with environmental
      and biological monitoring of occupational exposure.

      An exposure study on Ecuadorian floriculture workers has been carried out, which
      involves measurement work (health and exposures information) in the open field
      environment and greenhouses. COMPLETED.

      Exposure to ethylenbisdithiocarbamate fungicides (EBDTCs) was investigated in a
      group of greenhouse farmers by measuring urinary ethylenethiourea (ETU), which is
      a major metabolide of EBDTCs. This work has demonstrated that ETU
      measurements may be adopted as a biomarker of short-term exposure.
      COMPLETED.

      Two field studies to evaluate personal exposure to ethylenbisdithiocarbamate
      fungicides (EBDTCs) in floriculture workers were performed, and the utility of urinary
      ethylenethiourea as a short-term marker of exposure was assessed.

      Data on exposure to pesticides in banana plantation workers and in the general
      population leaving nearby will be collected; Possible health effects related to this
      exposure, especially dermal and neurological effects, will be investigated.



      5.28j Control of Occupational hazards associated with pesticides in agriculture.


118
      Project Leader: Professor L London ll@cormack.uct.ac.za; Tropical Pesticides
      Research Institute, Arusha, Tanzania.

      PhD study into acute pesticide poisoning (APP_) in Tanzania almost completed

      Proposal for surveillance system for APP in Tanzania tabled to Ministry of Health

      Study of risk perceptions of small farmers published in Crop Protection 2007; 26:
      1617-1624.

      Study of policy implication for small farmers‟ protections from pesticides:
      Development Southern Africa, 2008: 25(4): 399-424

      Chapter in Encyclopedia of Pest Management on chemical hazards: Rother, H-A &
      London, L. (2008). Classification and Labeling of Chemicals: New Globally
      Harmonized System (GHS), Encyclopaedia of Pest Management, 1:1, 1-6.

      Two regional meetings held for pesticide registrars

      List server for pesticide registrars running

      Postgraduate Diploma in development - targeting pest management scientists,
      including registrars, to be introduced 2010.

      Short courses run: grantwriting for researchers (2006); exposure assessment for
      pesticides (2006); neurobehavioural assessment in occupational and environmental
      health in March 2009.

      Pesticides list server running from UCT to region

      Series of policy briefs produced and disseminated (www.wahsa.net) on Acute
      pesticide poisoning and the need for national surveillance systems; Reducing
      pesticide risks through building capacity of African regulators; Pesticide laboratory
      capacity in the SADC region- a vital link in Pesticide Risk Reduction; South-South
      collaboration for pesticide safety; Reducing the Impact of pesticides through
      Community Pesticide monitoring; South-South Collaboration for pesticide safety;

      Action project in process in Ngarenyuki district, Tanzania

      Resource centre operating at TPRI to relocate to MUHAS

      PhD study into acute pesticide poisoning (APP) in Tanzania by 2010

      Postgraduate Diploma and M Phil in Pesticide Risk Management - targeting pest
      management scientists, including registrars and environmental health professionals
      to be introduced 2010

      Short-courses on pesticide policy, health and environmental risk assessment,
      controlling pesticide risk, pesticides and public health based on the post graduate
      diploma

      Ongoing networking: running Pesticides list server and Registrars list server


119
      Publications from ongoing research activities in Ngarenyuki and Western Cape

      Implementation of acute pesticide poisoning surveillance in Tanzania



      5.28k Lung disease in Agriculture – tools for assessment of exposure, burden of
      disease and prevention. Project Leader: Holger Dressel; Holger.Dressel@med.uni-
      muenchen.de Rudi Schierl; Rudolf.schierl@med.uni-muenchen.de

      Develop simple recommendations to reduce allergen exposure in farmers‟ homes (by
      2006)

      Data presented at the European Respiratory Society Congress 2006

      Develop tools for the evaluation of educational interventions (by 2007)

      Data will be presented at the German Congress for Occupational Health 2007.

      Develop tools for secondary prevention (by 2008)

      Poster presentation in Buxton. Results were also distributed by local press and
      television.

      Dissemination of tools through WHO CC centers (by 2009)

      Currently planning studies to develop efficient screening strategies to detect
      agricultural lung disease at an early stage and are planning cooperation with
      Médecine du Travail, Faculté des Sciences de la Santé, Cotonou, Benin and Institute
      of Occupational Medicine, Skopje, Macedonia.



      5.28l Ergonomics Checkpoints in Agriculture – A toolkit for developing countries.
      Project Leader;David C Caple; davidcaple@pacific.net.au

      The IEA has finalized the Checkpoints in 2009. An illustrator from Vietnam has
      developed the graphics for each checkpoint and these have been checked for
      accuracy and cultural suitability.

      The checkpoints have been checked (with the ILO Regional Advisor) in Bangkok and
      in Vietnam.

      The checkpoints have now been forwarded to the ILO SafeWork program in Geneva
      for final editing and printing.

      The IEA is hosting an international conference on ergonomics in agriculture in
      Malaysia. The website is www.aedec.org

      It is expected that the final handbook will be sent to the Orders in November 2009
      once they are back from the printers. The ergonomics in agriculture publication will
      then be integrated into a range of ILO outreach programs such as WISE an WIND in



120
      developing countries.

      The product will also be available for Unions, Employers, and Governements to
      utilize in their training and outreach program.s

      The IEA will continue to liaise with the ILO on the take up of the document in 2010.



      5.28m Development of risk assessment guidelines for agricultural workers. Project
      Leader: Angelo Moretto; angelo.moretto@icps.it. ICPS, Milan, Italy.

      A generic model to perform pesticide risk assessment for agricultural workers has
      been developed. COMPLETED

      Specific risk profiles for exposure to plant protection products in greenhouses, maize,
      rice have been finalized. COMPLETED.

      Environmental and biological monitoring study has been carried out to validate the
      greenhouses risk profile. COMPLETED

      The obtained results have been presented in regional and national conferences.
      COMPLETED

      An article has been submitted to scientific journal to disseminate the tool.

      Development of a probabilistic approach for assessment of exposure to pesticides in
      selected scenarios. IN PROCESS

      Elaboration of guidelines for health surveillance of agricultural workers. IN
      PROCESS



      5.27f

      Baseline study of number of intoxications and their causes among small scale
      farmers in the districts of Wakiso and Pallisa

      Validated material in English for teaching of health care workers in Uganda in
      „diagnosis, treatment and prevention of pesticide intoxications‟.

      Validated material in English for teaching of farmers in Uganda in IPM methods and
      prevention of pesticide intoxications‟.

      Uploading of materials/kit on pesticide control on web-sides for free access

      Dissemination for student educations on Global Health Platform coordinated by the
      University of Copenhagen.

      Dissemination of findings and experiences gained on conferences and in scientific
      journals



121
      5.27g

      A Municipal model exists that is applicable to other Municipalities in Bolivia to prevent
      negative effects of pesticides, including training and information of farmers, health
      care workers and the population in general in Integrated Pest Management,
      prevention of intoxications and environmental pollution.

      SENASAG‟s (Ministry of Agriculture) farmer education program „Good Agricultural
      Practices‟ has been strengthened with IPM promotion, immersed within the national
      policies for agricultural pesticides regulation.

      Strategies, education materials and informative documents elaborated by the project
      are available in virtual libraries of National and International Universities, and at the
      OPS/WHO, for training of students, professionals and farmers at a global level thus
      creating a base for global advocacy.

      Uploading of materials/kit on pesticide control on web-sides for free access

      Dissemination for student educations on Global Health Platform coordinated by the
      University of Copenhagen.

      Dissemination of findings and experiences gained on conferences and in scientific
      journals



      5.27h

      E-forum network

      E-course materials around the Code of Conduct on the Distribution and Use of
      Pesticides

      Regulators graduated with a post graduate diploma or masters in pesticide risk
      management



      5.27i

      List of Hazard and Exposure Indicators for the main work tasks in agriculture;

      Instructions for the application of the Exposure and Risk Profiles;

      Guideline for exposure and risk assessment in agriculture



      5.27j

      Report on occupational diseases in agricultural settings, which will be basis for an


122
      epidemiologic observatory on occupational diseases in agriculture.

      December 2011: first epidemiological observations

      ICOH 2012: presentation of main results.



      5.27k

      Published guidelines for health surveillance of agricultural workers;

      A system for primary occupational health care delivery in agriculture. Dissemination
      of similar experiences in other Regions and Countries

      September 2011: publication of first report on health conditions of agricultural
      workers in the Region.

      2012: preparation of a guidance document to be discussed at ICOH Congress.



      5.27m

      A Global Rural Health Network (GRHN), involving of all stakeholders.

      Periodical discussions on critical issues organized via workshops, etc.

      Possibility of creating a special website will be explored.



      5.27n

      Renewable Energy in the Nutmeg Industry, including:

      By August 2011: installation of a solar dryer to test baseline measurements of its fit to
      nutmeg plant as well as baseline occupational health indicators of nutmeg workers.

      Implementation of a solar drying process will support more efficient product
      processing, improve economic and environmental benefits to the community, and
      prevent adverse health effects to the workers via reductions in dust, mold, and other
      particle exposures, with reductions in respiratory health effects among workers.

      Follow up exposure assessment evaluation is planned for 2011.




      Area B: Transport: Lygia Therese Budnik




123
      5.24d Establishment of an international working group for the utilization of
      telemedicine to reduce health risks of seafarers. Project Leader: Marcus Oldenburg,
      Xaver Baur; marcus.oldenburg@bwg.hamburg.de Department of Maritime Medicine
      of Central Institute of Occupational Medicine, Hamburg, Germany.

      Ascertaining the number and suitability of telemedical equipment (e.g. ECG by
      semiautomatic defibrillators, X-rays and photos) by considering ship-specific hazards
      (frequently injuries and diseases) (by 2006)

      Reinforcing international standardization, harmonization, and co-operation (by 2006)

      Testing medical devices and the quality of transmitting telemedical signals on board
      (by 2007)



      5.27b Road safety toolkits for organizations whose employees travel abroad within
      the PAHO region. Project Leader: Stephanie Pratt sgp2@cdc.gov NIOSH, USA

      Special session on occupational road safety at “Road Safety in the Americas”
      conference, Puerto Rico, December 2007

      Session on occupational road safety in Latin America at International Conference on
      Road Safety at Work (Washington, DC, February 16-18, 2009)

      Collaborated with PAHO to include question on availability of data on road traffic
      injury at work in data collection instrument for the Americas, Global Road Safety
      Status Report, 2008 COMPLETED

      Road Safety toolkit for travelers in the Americas

      Project activities may be integrated with a Latin American regional meeting to be
      organized as a follow-on to the International Conference on Road Safety at Work



      5.28g Promoting Initiatives for Occupational Road Safety. Project Leader: Jane
      Hingston, JHingston@cdc.gov; NIOSH, USA

      International Conference on Road Safety at Work (Washington, DC, February 16-18,
      2009, the first international conference dedicated to preventing occupational road
      traffic injuries, a leading cause of occupational fatalities worldwide

      Organized by NIOSH, with co-sponsorship from World Health Organization,
      International Labour Organization, National Safety Council, World Bank, and U.S.
      Department of State

      220 delegates from 44 countries representing business, academia, government, and
      labor

      Sessions on research, policy, and practice, with special focus on emerging markets



124
      Draft conference “white paper” available at: www.cdc.gov/niosh/programs/twu/global

      Conference videos and presentations available at:

      http://www.virtualriskmanager.net/main/aboutus/niosh.php

      Conference included in UN Secretary General‟s 2009 report on Improving Global
      Road Safety as a key road safety event

      Wikipedia site on Global Road Safety for Workers:
      http://en.wikipedia.org/wiki/Global_road_safety_for_workers.

      In collaboration with UN Road Safety Collaboration, Fleet Safety Project Group,
      planning is underway for regional occupational road safety meetings in West Africa
      and Southeast Asia/Australasia

      Inclusion of fleet safety in 2008 UN General Assembly resolution on road safety, and
      in proposed resolution to be discussed in late 2009 or early 2010

      Contributed US data on occupational road safety to Global Road Safety Status
      Report prepared by WHO with Bloomberg Foundation funding COMPLETED

      Publication of revised “white paper” and conference proceedings as joint
      NIOSH/WHO document IN PROCESS

      Continued participation in UN Road Safety Collaboration and “Global Road Safety
      Roundtable” of US government agencies

      Additional regional meetings in other parts of the world, possibly India and Latin
      America

      Dissemination of conference outputs through international organizations,
      professional conferences, and other outlets



      Area C: Construction



      5.28b Preventive programme designed to reduce musculoskeletal pain for
      construction workers and students of construction schools. Project Leader: Zbigniew
      W. Józwiak, zbyszekij@imp.lodz.pl Nofer Institute of Occupational Medicine, Lodz,
      Poland.

      The preventive programme for construction workers and students will help to reduce
      physical overload and prevalence of musculo-skeletal symptoms in these workers. A
      programme will consists of two main elements: theoretical training and a set of
      physical exercises. Develop the user friendly program by 2008.

      To develop training packages for the toolkit deliverable though e-learning and face-
      to-face (2009)


125
      To integrate the toolkit in the provision of construction workers and students 2012

      2 lectures - workshops for construction sector managers and safety officers (physical
      workload in construction workers, REBA – good method for physical workload
      estimation) – about 200 trained persons

      Next workshops for managers and safety officers on physical workload in
      construction, saving back and other elements of musculoskeletal system for about
      250 persons

      Final version of PowerPoint presentation for construction workers

      Training sessions for construction workers for about 500 workers – practical testing
      of prepared presentation

      Presentation of prepared programme and its effects in occupational safety press and
      by internet.



      5.28i Estimation of work-related physical load and occupational risk evaluation in
      construction sector.

      4 training sessions for nurses organized by various nurses organisations (proper
      patients handling techniques) – about 300 nurses trained

      2 lectures - workshops for construction sector managers and safety officers (physical
      workload in construction workers, REBA – good method for physical workload
      estimation) – about 200 trained persons

      2 lectures – workshops for dentists (physical workload of dentists, dental assistants
      and hygenists, RULA – good method for physical workload in dentistry estimation)
      during International Conferences (about 250 persons trained):

      International Dental Ergonomics Congress, 22 Annual Meeting European Society of
      Dental Ergonomics, V Forum Ergonomics in Dentistry (Cracow, May 2009).
      COMPLETED

      Next workshops for managers, safety officers, nurses and dental staff on physical
      workload, saving back and other elements of musculoskeletal system for about 500
      persons

      New version of PowerPoint presentation for nurses disseminated by CDROMs and
      internet

      First version of PowerPoint presentation for dental staff

      Training sessions for nurses and dentists for about 400 persons

      19th Central European Dental Exhibition Session




126
      5.28n Assessment of exposure to carcinogenic compounds, focusing on polycyclic
      aromatic hydrocarbons (PAHs), in construction workers. Project Leader: Laura
      Campo laura.campo@unimi.it.

      Development of analytical methods to measure urinary biomarkers of exposure to
      carcinogenic compounds, with particular attention to exposure to polycyclic aromatic
      hydrocarbons (PAHs) and their application in workers exposed to bitumen fumes
      (asphalt workers and roofers).

      Evaluation of influence of genetic factors and of life style (tobacco smoking, diet) on
      PAHs exposure.

      Two analytical methods have been developed:

      1) a headspace solid-phase microextraction gas chromatography– mass
      spectrometry (HS-SPME/GC–MS) method for the simultaneous quantification of 13
      PAHs (from naphthalene to benzo(a)pyrene)) in urine samples. The method has
      been published [Campo et al., Analytica Chimica Acta 631 (2009) 196–205].

      2) a GC/MS for the simultaneous quantification of 12 urinary monohydroxy
      metabolites of PAHs, namely 1-hydroxynaphthalene, 2-hydroxynaphthalene, 2-
      hydroxyfluorene, 9-hydroxyfluorene,1-hydroxyphenanthrene, 2-
      hydroxyphenanthrene, 3-hydroxyphenanthrene, 4-hydroxyphenanthrene, 9-
      hydroxyphenanthrene, 1-hydroxypyrene, 6-hydroxychrysene, and 3-
      hydroxybenzo[a]pyrene. The method has been published [Campo et al., Journal of
      Chromatography B, 875 (2008) 531–540].

      Analysis of the biological samples collected to quantify urinary PAHs and urinary
      monohydroxy metabolites.

      Analysis of exposure pads applied on skin of workers to evaluate dermal exposure



      Area D: Mining and Petrochemicals



      5.27c Improving Mining Safety and Health in Colombian Mines. Project Leader:
      Jeffery L. Kohler, Ph.D. JKohler@CDC.gov; NIOSH, USA.

      Train-the-Trainer Workshop (Major Milestone #2) completed September 2009

      March 2011. Three-fold increase of professional capacity in mining safety and health
      trainers/professionals (baseline of 50)

      September 2011. Adoption of two or more best practices for dust control and
      explosion prevention

      March 2012. Incorporation of safety and health best practices into an operating coal
      mine that can be used as a model for other mine operators to study



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      5.27d Exposure to diesel particulates (DPs) and their health effects on employees in
      an underground mine in Western Australia. Project Leaders: Le Jian,
      l.jian@curtin.edu.au; Janis Jansz; j.jansz@curtin.edu.au International Ergonomics
      Association (IEA)

      Reports on (1) exposure patterns to diesel particulate and health characteristics on
      employees at a Western Australia underground mine: associations between
      exposure and health effects? (2) evaluation of current risk control measures for
      managing diesel particulate exposure at a Western Australia underground mine

      Post-2012: A mining company policy for management of DPs.

      Improved health surveillance system in WA mining companies

      Improved DP risk control measures and monitoring systems within the mining
      company



      5.27e Collaborative project on assessment and control of diesel particulate matter
      exposure among underground mine workers. Project Leader: Krassi Rumchev,
      r.rumchev@curtin.edu.au; International Ergonomics Association (IEA)

      Baseline air quality data on diesel particulate exposure in underground mine
      environments

      Quantification of extent of exposure to diesel particulates and associated health
      effects among underground mine workers

      Post-2012: Relative cost-effectiveness of control measures assessed, including:
      control at source (retrofitted DPM filters); diffusion batteries; electro-spray generators
      to promote rapid particle agglomeration and removal; additional filter; water
      atomizers.

      5.28q Environmental and occupational risks in the petrochemical sector. Project
      Leader: Prof Bakirov Ufa Institute bakirov@anrb.ru

      Developing approaches to the assessment and management of occupational risks –
      2010;

      Developing guidance on assessment and improvement of working conditions – 2011;

      Development of a rehabilitation programme – 2012.



      Area E: Multi-sector



      5.27a Sharing workplace OSH practices through sector-based global collaborations

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      (NORA). Project Leader: Max Lum; mlum@cdc.gov, Marilyn Fingerhut:
      mfingerhut@cdc.gov; NIOSH, USA.

      All 8 NORA Sector Councils have been formed and are working on addressing sector
      problems. COMPLETED.

      Four NORA sectors have identified worst sector problems and are acting on
      stakeholder agends www.cdc.gov/niosh/nora

      Global Transport e-library of good practices www.roadsafetyatwork.org

      International transport conference and global partner follow-up on workers driving,
      working, or walking on raods.

      Train-the-trainer courses for thousands of healthcare workers in Americas, Egypt,
      Africa, and Afghanistan. COMPLETED

      Initial training of mining sector partners in Colombia.

      Remaining NORA sectors will complete public stakeholder agendas and will fund
      critical research and implementation activities

      Followup Fleet Safety Initiative with partners in Africa

      Extensive needlestick prevention training and tools for healthcare workers globally

      Personal protective equipment training tools for HCWs and for small businesses with
      silica exposures.

      Training of mining sector in Colombia and development of tools for use elsewhere

      Construction sector toolkit for use of small businesses and in developing countries



      5.28c Enhancement of Occupational Health and Safety in Mexican Industry Project
      Leader: Leonard Sassano; lsassano@iapa.ca; IAPA, Canada

      Developed and delivered a four day training program on SASST programme
      implementation to 40 STPS assessors and DGSST inspectors from across Mexico.
      COMPLETED 2003.

      Presentations on SASST and OHS Management Systems completed at two major
      OHS onferences in Mexico and at regional workshops across Mexico involving
      government, employers and worker groups. COMPLETED 2003

      A Consultant Certification process was developed to enable Mexican assessors to
      provide services to enterprises enrolled in the SASST programme. COMPLETED
      2004.

      September 2005: To deliver consultant certification to assessors.

      December 2007: Pilot applications and evaluate results of interventions. Make


129
      necessary modifications and refinements based of results. Apply nation wide.

      NOTE: This project should be considered dormant, due to the change in the Mexican
      Government last year. We have had no indication that the new government wishes to
      continue this project. If it becomes active again in the future, we will inform you.



      5.28d Enhancement of Occupational Health and Safety in Brazilian Industry. Project
      Leader: Leonard Sassano; lsassano@iapa.ca; IAPA, Canada

      Needs assessments & stakeholder engagement Completed April 2005.

      Training of individuals that have responsibility for the development of the information
      system and web portal. Completed December 2005

      Develop consulting skills and begin the development of the SESI management
      system framework. December 2005.

      Support SESI in the design and development of an Epidemiological Information
      System. By 2009

      Development of a OHS web portal to enhance SESI‟s capacity to use OHS technical
      knowledge and information as a strategy to improve OHS within work environment of
      SME‟s. By 2009.

      Development and implementation of OHS management systems within SME‟s. To
      develop and deliver enhanced SESI managed OHS technical and management
      services to SME‟s. By 2009.

      Training of SESI consultants had been completed in November 2008. The project
      will be completed in September 2009.

      Pilot project completed. Implementation of managed systems in 8 enterprises with
      worker involvement in each of them. Some regions in the pilot are offering
      Occupational Safety and Health consulting services as a result of their experience.

      SESI will offer Occupational Health & Safety consulting services throughout the
      organization. It will be rolled out to other regions as well and will become a formal
      part of SESI‟s services in all its regional offices.



      5.28f Occupational Health Services of Small Scale Industries. Project Leader:
      Shigeki Koda; koda@h.jniosh.go.jp Aichi University of Education, Japan

      The reports of good practices in small scale industries related to:

      Improving for working environments and conditions.

      Improving ergonomic stress




130
                       Identify OSH risk in the workplaces by using action checklists and training manuals.

Critical Gaps to be
filled asap, to
assist countries to
Implement toolkits     The hazards in mining are a global problem. This facilitating project needs mining
to improve OSH         contributing projects.
risk management
in high risk
industry sectors.

Examples of
additional
deliverables
desired by 2012

Barriers to
success that must
addressed



FACILITATING
PROJECT

(administrative)
                       GPA 5.3-2: Vulnerable Workers

Facilitating Project   Toolkits and other resources for improving management of OSH hazards for
Title                  vulnerable worker groups

GPA Objective          Objective 5: to incorporate worker‟s health into other policies.

                       9. Measures need to be taken to minimize the gaps between different groups of
                       workers in terms of levels of risk and health status. Particular attention should be
                       paid to … the underserved and vulnerable working populations, such as younger and
                       older workers, persons with disabilities and migrant workers, taking account of
                       gender aspects. …

                       24. The capacities of the health sector to promote the inclusion of workers‟ health in
GPA Actions            other sectors‟ policies should be strengthened. Measures to protect workers‟ health
                       should be incorporated in economic development policies and poverty reduction
                       strategies. The health sector should collaborate with the private sector in order to
                       avoid international transfer of occupational risks and to protect health at the
                       workplace. Similar measures should be incorporated in national plans and
                       programmes for sustainable development.

                       25. Workers‟ health should likewise be considered in the context of trade policies
                       when taking measures as specified in resolution WHA59.26 on international trade
                       and health.

                       26. Employment policies also influence health; assessment of the health impact of

131
                       employment strategies should therefore be encouraged. …

                       5.3-2: Develop and implement toolkits and other resources for the assessment and
Priority Area          management of OSH hazards in high risk industry sectors and for vulnerable worker
                       groups

                       This Facilitating Project will assist in coordinating projects addressing the needs of
                       vulnerable worker groups. All tools and materials will be organized in an electronic
                       library for easy availability. Currently there are few projects related to this priority, but
                       they have been grouped into the following areas, to facilitate planning and
                       recruitment of additional projects:

                       1: young workers (not including child labour)

                       2: child labour
Purpose of
facilitating project   3: older workers

                       4: migrant workers

                       5: disadvantaged ethnic groups

                       6. precariously employed workers

                       7. women workers

                       8: more general information and resources

GPA Manager            Wendy Macdonald

CC Initiative
                       Owen Evans: o.evans@latrobe.edu.au
Leaders and
contact
                       Jodi Oakman: j.oakman@latrobe.edu.au
information

WHO responsible
                       Evelyn Kortum
person

                       1: Young workers

Collaborating          5.28a Young Workers Occupational Safety and Health Curriculum. National Institute
centre partners        for Occupational Safety and Health (NIOSH). Carol M. Stephenson,
with separate          Ccstephenson@cdc.gov
contributing
projects
                       5.28p Protecting youth from hazardous work: Developing a handbook of
                       recommended methods for identifying and addressing psychosocial and physical
                       health risks to adolescent workers. ILO. Susan Gunn, gunn@ilo.org




132
                   2: Child labour

                   5.28o Child labour: strategies for prevention. ISPESL – Dept. of Occupational
                   Medicine ITALY. Dr Marta Petyx (marta.petyx@ispesl.it), Dr Grazia Fortuna
                   (grazia.fortuna@ispesl.it), Dr Fabio Boccuni (fabio.boccuni@ispesl.it)



                   3: Older workers

                   5.9-1.7h Aged persons and their occupational skills. Development of methods for the
                   prevention of impairments. IfADo – Leibniz Research Centre for Working
                   Environment and Human Factors (Institut für Arbeitsforschung an der TU Dortmund)
                   Barbara Griefahn, Professor, MD, griefahn@ifado.de



                   4: Disadvantaged ethnic groups

                   5.9-1.6e SWIFT – Sustainable Waste Management Initiative For A Healthier
                   Tomorrow - A Comprehensive, Sustainable Approach Focused On The Determinants
                   Of Social Exclusion, Poverty And Health In The Roma, Ashkali And Egyptians In
                   Belgrade, Serbia. Gerry McWeeney ( gwe@who.org.rs). Institute Of Occupational
                   and Radiological Health “Dr Dragomir Karajović“, Belgrade, Serbia, Dr Martin
                   Popevic ( popevic.martin@gmail.com)



                   5: Precariously employed workers

                   5.9-1.7g Knowledge transfer about occupational hazards to precarious women
                   workers. CINBIOSE and Centro de Estudios de la Mujer. Katherine Lippel,
                   klippel@uottawa.ca Ximena Díaz, xdiaz@cem.cl



                   6: Women workers

                   5.9-1.7g – see under 6, above.



                   7: More general information and resources

                   5.9-1 Electronic inventory and repository of guidance documents, risk management
                   tools and related resources for vulnerable worker groups. La Trobe University,
                   Australia. Owen Evans, o.evans@latrobe.edu.au; Jodi Oakman,
                   j.oakman@latrobe.edu.au



WHO Regional
offices actively

133
involved in this
project (name and
email)

Summary of the      The project will identify vulnerable worker groups and the particular hazards which
project (max100     are either characteristic to them. Further it will identify and promulgate control
words)              strategies to eliminate or reduce exposure to those hazards.

                    1. Young Workers

                    Curriculum (English & Spanish) disseminated electronically through the NIOSH web
                    site and WHO educational gateway

                    Country and global data on psycho-social health of adolescent workers, used in
                    awareness-raising materials

                    Psychosocial measurement tool for this group

                    Handbook of recommended methods for use in primary health centres



                    2. Child Labour

                    Analysis of feasibility to develop an information path on child labour in Europe to
Anticipated         raise awareness and visibility of this problem, with specific focus on migrant children
deliverables by
                    Scientific publication on child labour in Italy
2012 from
contributing        Second ILO global report on child labour
projects
                    Presentation and dissemination of the project and single teaching units on a web
                    page devoted to this issue on ISPESL portal



                    3. Older Workers

                    Training programs



                    4. Disadvantaged Ethnic Groups

                    Health System development and assessments during this and the following BCA
                    period, focusing on BOHS (particularly vulnerable workers), and hazardous
                    employment

                    Assessment and report on health hazards and injuries of informal waste collectors

                    Based on that report, formal OSH training and awareness raising among informal
                    waste collectors.



134
                      5. Precariously employed workers

                      Training workshops on mental health and work

                      Booklets and OSH training for women in agricultural sector



                      6. Women workers

                        See 5 above.



                      7. More general information and resources

                      Electronic repository of OSH resources and risk control strategies relevant to hazards
                      experienced by vulnerable worker groups.

                      Migrant Workers. This group of vulnerable workers is not represented here. (Liaise
                      with GPA 2 leaders, especially of 2.3.)

                      Disadvantaged ethnic groups. Issues are addressed only for a limited range and in
Critical gaps to be   one industry and location.
filled by 2012 in
                      Precariously employed workers and women workers are addressed in a single
order to fulfil GPA
                      project. These two large groups with both separate and overlapping issues appear to
Priorities
                      warrant more extensive coverage.




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